Organization · Type 2 NPI

New Albertson's Inc #7557/490

Community/Retail Pharmacy · Ellsworth, ME

NPI number 1881961589 Active

Practice location

175 High St
Ellsworth, ME 04605-1730

Fax (207) 669-3013

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	PR4615 (ME)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

5 other providers at this address

Other community/retail pharmacy providers in Ellsworth

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NPI record

NPI: 1881961589
Entity type: Organization (Type 2)
Issued: Nov 23, 2011
Last updated: Nov 23, 2011
Status: Active
Subpart: Yes of New Albertson's Inc

Other names

<unavail>
Shaws Osco Pharmacy · doing business as

Authorized official

Michael Ivan Boudreau, RPH
Staff Pharmacist
(207) 669-3005

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1881961589

New Albertson's Inc #7557/490's National Provider Identifier is 1881961589, issued on Nov 23, 2011. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Ellsworth, ME. The record was last updated on Nov 23, 2011.