Individual
NICOLETTE CENTANNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
45 WORDSWORTH ST, PORTLAND, ME 04103-5427
(413) 335-3207
Mailing address
45 WORDSWORTH ST, PORTLAND, ME 04103-5427
(413) 335-3207
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5687
ME
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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