Individual
MARY J LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
195 FORE RIVER PKWY STE 170, PORTLAND, ME 04102-2782
(207) 535-1600
(207) 535-1610
Mailing address
195 FORE RIVER PKWY STE 170, PORTLAND, ME 04102-2782
(207) 535-1600
(207) 535-1610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
17297
MA
183500000X
Pharmacist
PH-1643
HI
183500000X
Pharmacist
Primary
PR27756
ME
Other
Enumeration date
09/15/2009
Last updated
10/20/2020
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