Individual
JESSICA BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1012 UNION ST, PENOBSCOT COMMUNITY HEALTH CENTER, BANGOR, ME 04401-3060
(207) 404-8100
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR45355
ME
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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