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Individual

CHARLES RUSSELL THORP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R. PH.

Contact information

Practice address
147 BATH RD, RTES 1 AND 24, MERRY MEETING PLAZA, BRUNSWICK, ME 04011
(207) 729-8587
(207) 721-8171
Mailing address
147 BATH RD, RTES 1 AND 24, MERRY MEETING PLAZA, BRUNSWICK, ME 04011
(207) 729-8587
(207) 721-8171

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR3685
ME

Other

Enumeration date
06/06/2012
Last updated
06/06/2012
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