Individual
ANDREA LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 JFK PLZ, WATERVILLE, ME 04901-5015
(207) 872-2182
(207) 877-7568
Mailing address
190 JFK PLZ, WATERVILLE, ME 04901-5015
(207) 872-2182
(207) 877-7568
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR4839
ME
Other
Enumeration date
11/15/2020
Last updated
11/15/2020
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