Individual
TRAVIS JAMES FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7 PORTLAND ST, RUMFORD, ME 04276-2050
(207) 364-2969
Mailing address
7 PORTLAND ST, RUMFORD, ME 04276-2050
(207) 364-2969
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR69411
ME
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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