Individual
RICHARD TANYI AGBORTOKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
616 FOREST AVE, PORTLAND, ME 04101-1510
(207) 761-9454
Mailing address
62 LELAND ST, APARTMENT 1, PORTLAND, ME 04103-2528
(617) 794-0293
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR12976
ME
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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