Individual
DR. CASSIDY PATRICIA COYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
111 AUBURN ST, PORTLAND, ME 04103-2103
(207) 797-3393
Mailing address
111 SAUGUS ST, PORTLAND, ME 04103-1465
(207) 317-1444
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PR71150
ME
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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