Individual
IAN A. MACOMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 BENNETT DR, CARIBOU, ME 04736-2022
(207) 498-8735
Mailing address
115 WILLIAMS RD, PRESQUE ISLE, ME 04769-5266
(207) 450-4682
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR69423
ME
Other
Enumeration date
10/31/2021
Last updated
10/31/2021
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