Individual
ALI YOUSEFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 STATE RD, BATH, ME 04530-6010
(207) 443-1786
(207) 442-6706
Mailing address
5 HAYFIELD LN, LISBON, ME 04250-6899
(713) 492-5734
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR71346
ME
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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