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Individual

MS. MICHELLE LEE COGSWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPHT

Contact information

Practice address
1 VA CTR, AUGUSTA, ME 04330-6719
(207) 623-8411
Mailing address
1 VA CTR, AUGUSTA, ME 04330-6719
(207) 623-8411

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5201-0701-0114-482
PTCB PHARMACY TECHNICIAN CERTIFICATION
ME
Enumeration date
12/13/2010
Last updated
01/25/2022
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