Provider Demographics
NPI:1467976944
Name:AROOSTOOK PHARMACY INC.
Entity Type:Organization
Organization Name:AROOSTOOK PHARMACY INC.
Other - Org Name:AROOSTOOK PHARMACY LTC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:207-316-8556
Mailing Address - Street 1:PO BOX 81
Mailing Address - Street 2:
Mailing Address - City:FORT KENT MILLS
Mailing Address - State:ME
Mailing Address - Zip Code:04744-0081
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:182 MARKET ST STE 3
Practice Address - Street 2:
Practice Address - City:FORT KENT
Practice Address - State:ME
Practice Address - Zip Code:04743-1514
Practice Address - Country:US
Practice Address - Phone:207-834-2880
Practice Address - Fax:207-834-2880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-27
Last Update Date:2017-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy