Individual
DANIELA DESANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
566 UNION ST, BANGOR, ME 04401-3752
(207) 262-5885
Mailing address
PO BOX 2301, BANGOR, ME 04402-2301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5789
ME
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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