Individual
MOMENJAN T ABDULLAYOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
225 WATERMAN DR, SOUTH PORTLAND, ME 04106-3617
(207) 899-4600
(207) 899-4613
Mailing address
989 SHORE RD, CAPE ELIZABETH, ME 04107-1909
(207) 767-4517
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR 4795
ME
Other
Enumeration date
08/19/2010
Last updated
09/21/2011
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