Individual
ERIC ZIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
616 FOREST AVE, PORTLAND, ME 04101-1510
(207) 761-9454
Mailing address
616 FOREST AVE, PORTLAND, ME 04101-1510
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
12956
ME
183500000X
Pharmacist
Primary
PR12956
ME
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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