Individual
ENIYE OSA-IYARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 COLLEGE CIR, BANGOR, ME 04401-2929
(207) 941-7000
Mailing address
8 INDEPENDENCE AVE, HAMPDEN, ME 04444-1300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PI45588
ME
Other
Enumeration date
07/29/2017
Last updated
07/29/2017
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