Individual
IHEZIE S OBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
34 MIDDLE STREET, EASTPORT, ME 04631
(207) 853-9200
(207) 853-4002
Mailing address
142 HUSSON AVE APT 16, BANGOR, ME 04401-3256
(240) 475-9331
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR69573
ME
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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