Individual
MS. DYLAN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
915 UNION ST STE 7, BANGOR, ME 04401-8604
(207) 973-6788
Mailing address
21 CARDINAL WAY, BANGOR, ME 04401-2782
(207) 852-6632
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR69366
ME
Other
Enumeration date
07/27/2017
Last updated
04/18/2024
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