Individual
ELIZABETH GRANHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 CONY ST, AUGUSTA, ME 04330-5348
(207) 621-2574
(207) 621-2577
Mailing address
118 CONY ST, AUGUSTA, ME 04330-5348
(207) 621-2574
(207) 621-2577
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR4223
ME
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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