Individual
AMANDA BOMBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 COMMERCIAL ST APT 305, PORTLAND, ME 04101-4642
(207) 831-4900
Mailing address
305 COMMERCIAL ST APT 305, PORTLAND, ME 04101-4642
(207) 831-4900
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR45413
ME
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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