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Individual

MIRANDA L JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
15G STARRETT DR, BELFAST, ME 04915-6563
(207) 338-0441
Mailing address
15G STARRETT DR, BELFAST, ME 04915-6563
(207) 338-0441

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR12905
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PR12905
RPH LICENSE
ME
Enumeration date
08/14/2013
Last updated
05/20/2020
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