Individual
MARY E. BEATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
260 HIGH ST, ELLSWORTH, ME 04605-1716
(207) 667-4644
Mailing address
1052 MAIN ST, VEAZIE, ME 04401-7056
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR12926
ME
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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