Provider Demographics
NPI:1205399011
Name:COVETRUS NORTH AMERICA, LLC
Entity Type:Organization
Organization Name:COVETRUS NORTH AMERICA, LLC
Other - Org Name:COVETRUS MAINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSING AND CREDENTIALING ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:SUMMER
Authorized Official - Middle Name:
Authorized Official - Last Name:ROPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-340-9721
Mailing Address - Street 1:7 CUSTOM HOUSE ST STE 5
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04101-4185
Mailing Address - Country:US
Mailing Address - Phone:888-280-2221
Mailing Address - Fax:
Practice Address - Street 1:12 MOUNTFORT ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-4307
Practice Address - Country:US
Practice Address - Phone:207-274-6035
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VFC EAST LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-04-09
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy
No333600000XSuppliersPharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy