Individual
MARK ANDREW NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
30 LANDING RD, WINDHAM, ME 04062-5560
(207) 893-0654
(207) 893-0664
Mailing address
30 LANDING RD, WINDHAM, ME 04062-5562
(207) 893-0654
(207) 893-0664
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5651
ME
Other
Enumeration date
07/10/2018
Last updated
02/02/2022
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