Individual
CHHAY KIM IENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2007 N BELFAST AVE, AUGUSTA, ME 04330-4363
(207) 622-2626
Mailing address
4 EASY ST, AUGUSTA, ME 04330-7940
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5391
ME
Other
Enumeration date
06/29/2013
Last updated
06/29/2013
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