Individual
DR. CHARLIE JAMES GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
19 PORTLAND RD, BRIDGTON, ME 04009-1229
(207) 647-3445
(207) 647-2086
Mailing address
39 SPRUCE ST, SANFORD, ME 04073-2970
(207) 432-2857
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR12947
ME
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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