Individual
JAMES PATRICK MAHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
110 PLEASANT ST, NANTUCKET, MA 02554-4004
(508) 825-9100
Mailing address
6 BIRCH HOLLOW CT, STONY BROOK, NY 11790-1846
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH241721
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070161
NYS PHARMACY LICENSE
NY
01
—
PH241721
MA PHARMACY LICENSE
MA
Enumeration date
08/07/2023
Last updated
08/30/2023
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