Individual
JESSICA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
295 FOREST AVE, PORTLAND, ME 04101-2018
(207) 885-6138
Mailing address
6A SUMMER LN, GRAY, ME 04039-7769
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR69306
ME
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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