Individual
CASEY POUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
36 CHINA RD, WINSLOW, ME 04901-7246
(207) 872-2728
Mailing address
36 CHINA RD, WINSLOW, ME 04901-7246
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR45415
ME
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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