Dirigo Drug LLC – Community/Retail Pharmacy

Key facts

NPI: 1609216498
Entity type: Organization (NPI type 2)
Primary specialty: Community/Retail Pharmacy 3336C0003X
License: PH50001492 (ME)
Legal business name: DIRIGO DRUG LLC
Practice address: 1167 Main Street
Clinton, ME 04927
Phone: (207) 426-6005
Fax: (207) 426-6007
NPI assigned: Jun 26, 2013
Organization subpart: No

Authorized official

Name: Stephen Wicker NPI 1861706954
Title: Owner
Phone: (207) 426-6005

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Stephen Wicker, R.PH. Pharmacist · Clinton, ME · NPI 1861706954

NPD Authorized official

Medicare participation

Medicare fee-for-service enrollment: Enrolled in ME

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20140331002069	ME	Part B Supplier - Mass Immunization (Roster Biller Only)	5193956308	Practice locations: Clinton, ME

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Community/Retail Pharmacy	3336C0003X	PH50001492	ME	Yes

Addresses

Primary practice location

1167 Main Street
Clinton, ME 04927

Mailing address

PO Box 284
Clinton, ME 04927-0284
Phone (207) 426-6005

Other providers in Clinton, ME

All providers in Clinton, ME · Community/Retail Pharmacy in Maine

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.