Individual
RAYMOND VINCENT BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
225 MADISON AVE, SKOWHEGAN, ME 04976-2054
(207) 474-2525
Mailing address
674 RIVER RD, NORRIDGEWOCK, ME 04957-3423
(207) 474-8928
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR27843
ME
Other
Enumeration date
07/26/2014
Last updated
07/26/2014
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