Individual
CRYSTAL HATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
383 WILSON ST, BREWER, ME 04412-1521
(207) 989-8290
Mailing address
383 WILSON ST, BREWER, ME 04412-1521
(207) 989-8290
(207) 989-8293
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR4758
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010085930
—
ME
Enumeration date
11/04/2020
Last updated
11/04/2020
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