Individual
KRYSTAL MECUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
417 PAYNE RD, SCARBOROUGH, ME 04074-9594
(207) 510-3005
(207) 510-3012
Mailing address
150 WESTERN AVE, AUGUSTA, ME 04330-7241
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR12950
ME
Other
Enumeration date
11/02/2013
Last updated
09/20/2018
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