Individual
MADISON ROSE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 STILLWATER AVE, BANGOR, ME 04401-3602
(207) 947-5811
Mailing address
280 MAIN RD APT 2, MILFORD, ME 04461-3242
(207) 248-2488
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR72130
ME
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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