Individual
LEAH VANHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 CROSSING WAY, AUGUSTA, ME 04330-6102
(207) 622-8001
Mailing address
2096 SUMMERHAVEN RD, SIDNEY, ME 04330-2262
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR46797
ME
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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