Individual
JOHNNA PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
843 CENTRAL ST, MILLINOCKET, ME 04462-2125
(207) 723-8148
(207) 723-9548
Mailing address
PO BOX 346, MILLINOCKET, ME 04462-0346
(207) 712-7327
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR6056
ME
Other
Enumeration date
11/08/2020
Last updated
11/08/2020
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