Individual
JADE HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47 HASKELL RD, BANGOR, ME 04401-4229
(207) 947-9723
Mailing address
47 HASKELL RD, BANGOR, ME 04401-4229
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PI46902
ME
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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