Individual
CASSANDRA CHASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
258 RIVER RD, MEXICO, ME 04257-1812
(207) 364-2993
Mailing address
258 RIVER RD, MEXICO, ME 04257-1812
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR46766
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PR46766
STATE PHARMACIST LICENSE
ME
Enumeration date
07/05/2018
Last updated
07/05/2018
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