Individual
GRACE LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 MAVERICK ST, ROCKLAND, ME 04841-2448
(207) 596-6389
Mailing address
75 MAVERICK ST, ROCKLAND, ME 04841-2448
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH06430
RI
Other
Enumeration date
08/24/2022
Last updated
02/03/2024
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