Individual
MR. KERRY STEPHEN SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 FOREST AVE, PORTLAND, ME 04103-4121
(207) 780-8144
(207) 780-0167
Mailing address
286 GRAY RD, FALMOUTH, ME 04105-2516
(207) 797-3066
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR4029
ME
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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