Provider Demographics
NPI:1578680294
Name:T&G, LLC
Entity Type:Organization
Organization Name:T&G, LLC
Other - Org Name:I CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:GREENIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-472-1302
Mailing Address - Street 1:227 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FORT FAIRFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04742-1122
Mailing Address - Country:US
Mailing Address - Phone:207-472-1302
Mailing Address - Fax:207-472-1580
Practice Address - Street 1:227 MAIN ST
Practice Address - Street 2:
Practice Address - City:FORT FAIRFIELD
Practice Address - State:ME
Practice Address - Zip Code:04742-1122
Practice Address - Country:US
Practice Address - Phone:207-472-1302
Practice Address - Fax:207-472-1580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR5099183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEPH50001302OtherSTATE PHARMACY LICENSE
MEPH50001336OtherSTATE LICENSE
MEPH50001336OtherSTATE LICENSE
MEFT0177849OtherDEA REGISTRATION NUMBER