Individual
MR. HEINRICH FRIEDRICH WICHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.PHARM
Contact information
Practice address
120 MAIN STREET, RITE AID PHARMACY, GORHAM, ME 04038
(207) 839-3160
Mailing address
1350 FOREST AVE, APARTMENT 24, PORTLAND, ME 04103-1816
(207) 615-9888
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5955
ME
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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