Individual
TARRA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
226 HIGH ST, ELLSWORTH, ME 04605-1742
(207) 664-0952
Mailing address
226 HIGH ST, ELLSWORTH, ME 04605-1742
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5827
ME
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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