Individual
KENNETH WAYNE CORBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.P.H.
Contact information
Practice address
97 OAK ST, BANGOR, ME 04401-6516
(207) 945-0351
(207) 945-0408
Mailing address
7 ROCK RIDGE DR, WINSLOW, ME 04901-0801
(207) 873-0394
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR4519
ME
Other
Enumeration date
08/27/2011
Last updated
08/27/2011
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