Individual
NICHOLAS RISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
44 MOOSEHEAD TRL, NEWPORT, ME 04953-4108
(207) 368-5230
Mailing address
44 MOOSEHEAD TRL, NEWPORT, ME 04953-4108
(207) 368-5230
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR46041
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PR46041
STATE OF MAINE BOARD OF PHARMACY
ME
Enumeration date
12/16/2020
Last updated
12/16/2020
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