Individual
CARLYSLE CROWDER SCHENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
48 GILMAN ST, PORTLAND, ME 04102-3004
(207) 661-4400
(207) 810-2363
Mailing address
109 HENNESSY DR, PORTLAND, ME 04103-2036
(803) 920-4617
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR70505
ME
1835I0206X
Infectious Diseases Pharmacist
B11101572
ME
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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