MEDICARE: MAXI DRUG NORTH 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	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy	0456P	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3005510	OTHER		OTHER ID NUMBER

General Provider Information

NPI Number	:	1902905284
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAXI DRUG NORTH INC

Provider Business Mailing Address
First Line	:	200 NEWBERRY COMMONS
Second Line	:
City	:	ETTERS
State	:	PA
Zip	:	17319-9363
Country	:	US
Telephone Number	:	717-761-2633
Fax Number	:	717-975-8659

Provider Business Practice Location Address
First Line	:	10 BENNING STREET
Second Line	:
City	:	WEST LEBANON
State	:	NH
Zip	:	03784-3402
Country	:	US
Telephone Number	:	603-298-7828
Fax Number	:

Authorized Official
Title or Position	:	MANAGER ONLINE ADJUDICATION
Name	:	JENNIFER ZOREK
Credential	:
Telephone Number	:	717-975-5937

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	10/12/2011

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1144548041 — URVI TELI RPH
Practice Location Address:

10 BENNING ST
WEST LEBANON, NH
03784-3402

Practice Phone: 603-298-7828
Practice Fax: 603-298-7017

1780208686 — BETHANY HEALTH SERVICES
Practice Location Address:

10 BENNING ST STE 160 #208
WEST LEBANON, NH
03784-3402

Practice Phone: 603-601-4766
Practice Fax: 603-506-6362

1649946765 — ANDREW CHRISTOPHER D'ORAZIO RPH
Practice Location Address:

10 BENNING ST
WEST LEBANON, NH
03784-3402

Practice Phone: 603-298-7828
Practice Fax:

1477210383 — MICHAELA PATENAUDE RN
Practice Location Address:

10 BENNING ST
WEST LEBANON, NH
03784-3402

Practice Phone: 603-298-7828
Practice Fax:

1891434197 — MARIE-CHRISTINE NIZZI PHD
Practice Location Address:

10 BENNING ST STE 160-170
WEST LEBANON, NH
03784-3402

Practice Phone: 857-204-4057
Practice Fax:

Directions to “MAXI DRUG NORTH INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.