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Individual

CHARLES KIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
39 EISENHOWER DR, WESTBROOK, ME 04092-2033
(207) 854-6400
(800) 559-7781
Mailing address
150 MIDDLE ST APT 2G, PORTLAND, ME 04101-4150

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR4199
ME

Other

Enumeration date
02/23/2018
Last updated
02/23/2018
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