Individual
SALLY SIDHOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(603) 560-2887
Mailing address
6 ARROWHEAD DR, UNIT 7, VASSALBORO, ME 04989-4043
(603) 560-2887
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5903
ME
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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