Wilsons Drug Store

LBN: Wilsons Drug Store
Wilsons Drug Store is an health care organization with primary practice located at 114 Front St , Bath ME 04530-2607. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Wilsons Drug Store can be contacted via phone (207) 442-8786, or through Desjardins, John via phone (207) 442-8786.

Contact Information

Primary practice address
114 Front St Bath ME 04530-2607
Phone: (207) 442-8786
Fax: (207) 442-7346
Website:
Map and Directions
Authorized official contact:
Name: Desjardins, John
Phone: (207) 442-8786

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH50000116 Maine

Profile Details

NPI number 1912089707
LBN Legal business name Wilsons Drug Store
DBA Doing business as Wilsons Drug Store
Authorized official Desjardins, John
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2006
Last updated Aug 25th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912089707 NPPES
Maine MEDICAID 104160000
Maine Other 2035824

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