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Penobscot Community Health Center
Compounding Pharmacy in Old Town, Maine
NPI 1316136302

Penobscot Community Health Center is a Compounding Pharmacy based in Bangor, ME and is specialized in Compounding Pharmacy. Penobscot Community Health Center practices in Old Town, ME. The NPI Number for Penobscot Community Health Center is 1316136302 and holds a License No. (Maine).

The current practice location address for Penobscot Community Health Center is 242 Brunswick St, Old Town, ME and can be reached out via phone at 207-992-4100 and via fax at 207-827-8391. You can also correspond with Penobscot Community Health Center through the mailing address at PO BOX 2100, BANGOR, ME - 04402-2100 (mailing address contact number: 207-945-5247).

Location: 242 Brunswick St, Old Town, ME, 04402-2100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316136302
Provider Name
Penobscot Community Health Center
Credential
Provider Entity Type
Organization
Address
242 Brunswick St, Old Town, ME, 04402-2100
Phone Number
207-992-4100
Fax Number
207-827-8391
Provider Enumeration Date
10/16/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
131160301 05 ME
2037653 01 PK
institution
Provider Business Practice Location Address Details
Address
242 Brunswick St
City
Old Town
State
Maine
Zip
04468-1613
Phone Number
207-992-4100
Fax Number
207-827-8391
person
Provider Business Mailing Address Details
Address
Po Box 2100
City
Bangor
State
Maine
Zip
04402-2100
Phone Number
207-945-5247
Fax Number
207-827-8391
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
()
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
PH50001432 (Maine)
Definition
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 health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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