Healthcare Provider Details

I. General information

NPI: 1760442156
Provider Name (Legal Business Name): MARTIN'S POINT HEALTH CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 VERANDA ST
PORTLAND ME
04103-5545
US

IV. Provider business mailing address

331 VERANDA ST
PORTLAND ME
04103-5545
US

V. Phone/Fax

Practice location:
  • Phone: 888-408-8281
  • Fax: 207-828-2495
Mailing address:
  • Phone: 888-408-8281
  • Fax: 207-828-2495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH50001414
License Number StateME

VIII. Authorized Official

Name: MR. JOHN F CURRAN
Title or Position: PORTLAND I PHARMACY MANAGER
Credential: RPH
Phone: 207-791-3873