Healthcare Provider Details

I. General information

NPI: 1114037298
Provider Name (Legal Business Name): ORONO PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 02/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 MILL ST
ORONO ME
04473-5050
US

IV. Provider business mailing address

16 MILL ST
ORONO ME
04473-5050
US

V. Phone/Fax

Practice location:
  • Phone: 207-866-3800
  • Fax: 207-866-3300
Mailing address:
  • Phone: 207-866-3800
  • Fax: 207-866-3300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH50001103
License Number StateME

VIII. Authorized Official

Name: DUANE CARR
Title or Position: PHARMACIST IN CHARGE
Credential: PHARM D
Phone: 207-866-3800