Individual
SAMANTHA SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 HANNAFORD DR, WESTBROOK, ME 04092-4084
(207) 854-1294
Mailing address
50 COTTAGE RD, SOUTH PORTLAND, ME 04106-3606
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR68614
ME
Other
Enumeration date
11/18/2020
Last updated
07/22/2021
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