Individual
GABRIEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 CONGRESS ST, PORTLAND, ME 04101-3416
(207) 774-4525
Mailing address
23 DAY RD, DURHAM, ME 04222-5407
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR72573
ME
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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