Individual
SEAN PATRICK KIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
383 WILSON STREET, PHARMACY DEPARTMENT, BREWER, ME 04412
(207) 989-8290
(207) 989-8293
Mailing address
383 WILSON STREET, PHARMACY DEPARTMENT, BREWER, ME 04412
(207) 989-8290
(207) 989-8293
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5758
ME
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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