CHANTHEARA LONG

AUGUSTA, ME
NPI1619499910
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: MA  PH236555)
Enumeration Date2017-07-09
Last Update Date2017-07-09
Business Address
Ms. CHANTHEARA LONG PharmD
1 VA CTR
AUGUSTA, ME 04330-6719
Phone number: 207-623-8411
Mailing Address
Ms. CHANTHEARA LONG PharmD
2 CHOATE LN APT 205
HALLOWELL, ME 04347-1735
Phone number:
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