Individual
MICHELLE E STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
440 PAYNE RD, SCARBOROUGH, ME 04074-8928
(207) 883-3617
Mailing address
440 PAYNE RD, SCARBOROUGH, ME 04074-8928
(078) 833-6172
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
ADV69790
ME
183500000X
Pharmacist
Primary
PR69488
ME
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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