Individual
CHRISTOPHER LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
653 BROADWAY, BANGOR, ME 04401-3341
(207) 947-3680
Mailing address
653 BROADWAY, BANGOR, ME 04401-3341
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5233
ME
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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