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Individual

DR. ALEJANDRO A. ENRIQUEZ ZAMALLOA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD, MS

Contact information

Practice address
14 MAINE ST, SUITE 208, BRUNSWICK, ME 04011-2049
(207) 907-1612
Mailing address
601 ALLEN AVE, PORTLAND, ME 04103-6101
(207) 907-9722

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH233995
MA
183500000X
Pharmacist
Primary
PR12573
ME

Other

Enumeration date
03/06/2013
Last updated
05/07/2015
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