Individual
BRIAN HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
47 HASKELL RD, BANGOR, ME 04401-4229
(207) 945-9723
Mailing address
47 HASKELL RD, BANGOR, ME 04401-4229
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR12503
ME
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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