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Individual

DR. TAYLOR JANE EASLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
399 MAIN ST, WINTHROP, ME 04364-1531
(207) 377-3162
Mailing address
27 TALLWOOD DR, SIDNEY, ME 04330-2224
(207) 242-1979

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR71124
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ADV71125
MAINE ADMINISTRATION OF VACCINE LICENSE
ME
01
PR71124
MAINE PHARMACIST LICENSE
ME
Enumeration date
08/05/2022
Last updated
08/05/2022
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