Individual
JOHN HOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
29 WHITTEN RD, AUGUSTA, ME 04330-6018
(207) 622-3148
Mailing address
633 OAKLAND RD, BELGRADE, ME 04917-3618
(207) 465-3524
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR4003
ME
Other
Enumeration date
12/06/2020
Last updated
12/06/2020
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