Individual
AMETHYST SUMMER EWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
461 MAIN ST, SACO, ME 04072-1528
(603) 481-2823
Mailing address
461 MAIN ST, SACO, ME 04072-1528
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT60017569
ME
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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