Individual
SANDRA J. FEVERSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
656 STATE ST, BANGOR, ME 04401-5609
(207) 941-4087
(207) 941-4759
Mailing address
55 DUDLEY ST, HAMPDEN, ME 04444-1626
(207) 862-4647
(207) 862-4648
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4643
ME
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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