Individual
CHANDRA MAE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 STILLWATER AVE, OLD TOWN, ME 04468-5160
(207) 872-3950
(207) 872-3953
Mailing address
892 FULLER RD, HERMON, ME 04401-0110
(207) 672-1000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5114
ME
Other
Enumeration date
12/05/2020
Last updated
12/05/2020
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