Individual
AUTUMN A BRUSCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1133 UNION ST, BANGOR, ME 04401-3012
(207) 945-3772
(297) 942-8820
Mailing address
452 MAIN RD N, HAMPDEN, ME 04444-1739
(207) 299-5201
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5081
ME
183500000X
Pharmacist
RPH04240
RI
Other
Enumeration date
11/29/2020
Last updated
11/29/2020
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