Individual
KEVIN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D, RPH
Contact information
Practice address
127 MARGINAL WAY, PORTLAND, ME 04101-2470
(207) 771-5631
Mailing address
127 MARGINAL WAY, PORTLAND, ME 04101-2470
(207) 771-5631
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR12506
ME
Other
Enumeration date
11/02/2012
Last updated
11/02/2012
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