Individual
DANIEL R BARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1012 UNION ST, BANGOR, ME 04401-3060
(207) 992-4100
Mailing address
1031 MAIN ST, VEAZIE, ME 04401-7011
(207) 251-6416
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR69356
ME
183500000X
Pharmacist
S024554
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
ME
Other
Enumeration date
07/24/2017
Last updated
09/20/2023
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