Individual
HALEY HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
469 MAIN ST, DAMARISCOTTA, ME 04543-4656
(207) 563-1974
Mailing address
469 MAIN ST, DAMARISCOTTA, ME 04543-4656
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR68793
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PR68793
PHARMACIST
ME
Enumeration date
12/16/2020
Last updated
12/16/2020
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