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NPI Code Detail

MEDICARE: CITY PHARMACIES INC

MEDICARE: CITY PHARMACIES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336C0004XCompounding Pharmacy
33336L0003XLong Term Care Pharmacy
43336S0011XSpecialty Pharmacy
53336C0003XCommunity/Retail PharmacyPH50001534ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22035687OTHERPK

General Provider Information

NPI Number : 1043306939
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITY PHARMACIES INC
Provider Business Mailing Address
First Line : 159 ACADEMY ST
Second Line :
City : PRESQUE ISLE
State : ME
Zip : 04769-3101
Country : US
Telephone Number : 207-764-4424
Fax Number : 207-764-4425
Provider Business Practice Location Address
First Line : 159 ACADEMY ST
Second Line :
City : PRESQUE ISLE
State : ME
Zip : 04769-3101
Country : US
Telephone Number : 207-764-4424
Fax Number : 207-764-4425
Authorized Official
Title or Position : PRESIDENT
Name : DOUGLAS TALBOT
Credential :
Telephone Number : 207-764-4424
Provider Enumeration Date : 10/05/2006
Last Update Date : 04/17/2017

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Directions to “CITY PHARMACIES INC ” Practice Location

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