Individual
AMY JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
653 BROADWAY, BANGOR, ME 04401-3341
(207) 947-3680
Mailing address
653 BROADWAY, BANGOR, ME 04401-3341
(207) 947-3680
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR4879
ME
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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