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NPI Code Detail

MEDICARE: WINSLOW RX

MEDICARE: WINSLOW RX
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
13336C0003XCommunity/Retail PharmacyPH50001378ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12008438OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1790010098
Entity Type Code : Organization
Provider Name (Legal Business Name) : WINSLOW RX
Provider Business Mailing Address
First Line : 20 GARLAND RD
Second Line :
City : WINSLOW
State : ME
Zip : 04901
Country : US
Telephone Number : 207-872-7979
Fax Number : 207-872-7922
Provider Business Practice Location Address
First Line : 20 GARLAND RD
Second Line :
City : WINSLOW
State : ME
Zip : 04901-0600
Country : US
Telephone Number : 207-872-7979
Fax Number : 207-453-6612
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : SHANE SAVAGE
Credential :
Telephone Number : 207-453-4411
Provider Enumeration Date : 10/05/2009
Last Update Date : 12/02/2014

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1760883425 — TIMOTHY JAMES AHEARN
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1972054963 — WINSLOW PHARMACY
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20 GARLAND RD
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1831704097 — CHRISTOPHER RICHARD NALEPA PHARMD
Practice Location Address:
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04901-0600
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Directions to “WINSLOW RX ” Practice Location

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