Individual
CONNIE LALIBERTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 WHITTEN RD, AUGUSTA, ME 04330-6018
(207) 622-3148
(207) 621-8260
Mailing address
29 WHITTEN RD, AUGUSTA, ME 04330-6018
(207) 622-3148
(207) 621-8260
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR4742
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PR4742
RPH LICENSE PR4742
ME
Enumeration date
12/02/2020
Last updated
12/02/2020
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