Individual
MATTHEW HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
279 MAIN ST, SOUTH PORTLAND, ME 04106-2629
(207) 741-2260
Mailing address
493 LIMERICK RD, ARUNDEL, ME 04046-8317
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR4838
ME
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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