Individual
HEATHER L SUDIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 CARDINAL DR, ORRINGTON, ME 04474-3020
(402) 239-0762
Mailing address
21 CARDINAL DR, ORRINGTON, ME 04474-3020
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PI28045
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PI28045
MAINE BOARD OF PHARMACY
—
Enumeration date
08/07/2017
Last updated
08/07/2017
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