Individual
CARLA ELLEN-CIAMPI THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 PHILBROOK AVE, SOUTH PORTLAND, ME 04106-3215
(207) 772-0758
Mailing address
415 PHILBROOK AVE, SOUTH PORTLAND, ME 04106-3215
(207) 772-0758
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR4424
ME
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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