Individual
SUSAN JANICE TRZOP-HAIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 356-0429
Mailing address
2786 KENNEBEC RD, NEWBURGH, ME 04444-4951
(207) 234-2306
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR4931
ME
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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