Individual
JORDI CHEEVERS PELLETIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
713 BROADWAY, BANGOR, ME 04401-3225
(207) 942-5521
Mailing address
713 BROADWAY, BANGOR, ME 04401-3225
(207) 942-5521
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR45350
ME
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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