Individual
ANDREW HANSCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
60 LONGVIEW DR, BANGOR, ME 04401-3629
(207) 945-9977
Mailing address
101 LAKE SHORE RD, HOLDEN, ME 04429-7008
(207) 989-4252
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR4710
ME
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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