MEDICARE: RWW, 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
1	3336C0003X	Community/Retail Pharmacy	PH5001256	ME

General Provider Information

NPI Number	:	1235165960
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RWW, INC

Provider Business Mailing Address
First Line	:	2185 MAIN ST
Second Line	:
City	:	RANGELEY
State	:	ME
Zip	:	04970-4006
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2185 MAIN ST
Second Line	:
City	:	RANGELEY
State	:	ME
Zip	:	04970-4006
Country	:	US
Telephone Number	:	207-864-3984
Fax Number	:

Authorized Official
Title or Position	:	PHARMACY MANAGER
Name	:	MR. GEORGE CARTER
Credential	:	RPH
Telephone Number	:	207-864-5089

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	08/22/2020

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Directions to “RWW, INC ” Practice Location

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