Individual
PRAFULL BHAURAO KORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 MAIN ST, WATERVILLE, ME 04901-6116
(207) 877-9004
Mailing address
392 WERSTERN AVE, APT 383, AUGUSTA, ME 04330
(207) 213-0191
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5672
ME
Other
Enumeration date
08/09/2010
Last updated
08/19/2010
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