Individual
MR. JOHANNES DAWID VAN DER MERWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
302 MAIN ST, OLD TOWN, ME 04468-1535
(207) 827-8021
(207) 827-3829
Mailing address
208 BROADWAY, APT 2A, BANGOR, ME 04401-5210
(207) 385-5735
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5830
ME
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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