| Organization Name: | BRUNSWICK MEDICAL CENTER PHARMACY AT SENIOR HEALTH CENTER |
| NPI Number: | 1689779050 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN R. ANDERSON (PRESIDENT) |
| Mailing Address: | 56 Baribeau Dr Brunswick |
| State: | ME US |
| Postal Code: | 040113251 |
| Phone Number: | 2077258100 |
| Fax Number: | 2077257779 |
| NPI Enumeration Date: | 09/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | PH50001228 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | ME |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |