Individual
DR. MELISSA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1 VA CTR, AUGUSTA, ME 04330-6795
(207) 623-8411
Mailing address
48 PATRIOTS WAY APT 404, SIDNEY, ME 04330-8820
(207) 754-7167
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
PR69932
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PR69932
MAINE BOARD OF PHARMACY
ME
Enumeration date
03/15/2021
Last updated
03/15/2021
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