Individual
YELENA AGAKHANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 WALDO ST, RUMFORD, ME 04276-1617
(207) 364-3711
Mailing address
520 WALDO ST, RUMFORD, ME 04276-1617
(860) 992-7858
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PCT.0013474
CT
183500000X
Pharmacist
PHCY-00984
NH
183500000X
Pharmacist
Primary
PR45417
ME
Other
Enumeration date
12/11/2020
Last updated
06/09/2023
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