Individual
BREANNA A AGBORTOKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
417 PAYNE RD, SCARBOROUGH, ME 04074-9594
(207) 510-3005
Mailing address
5 DINGLEY CT APT 1, PORTLAND, ME 04103-3301
(207) 626-0364
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR12969
ME
Other
Enumeration date
08/30/2013
Last updated
11/15/2016
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