Individual
KELLY CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
465 MAIN ST, WESTBROOK, ME 04092-4328
(570) 421-1773
Mailing address
286 FRONT ST APT 1, SOUTH PORTLAND, ME 04106-1558
(207) 240-5015
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR45380
ME
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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