Individual
TIFFANY M BRICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
165 CAPITOL ST, AUGUSTA, ME 04330-6232
(207) 623-1170
(207) 621-2346
Mailing address
165 CAPITOL ST, AUGUSTA, ME 04330-6232
(207) 623-1170
(207) 621-2346
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5213
ME
Other
Enumeration date
07/29/2018
Last updated
07/29/2018
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