NPI 1023572732

Mary Woodall

Practitioner Pharmacist Windham, ME

Practice location

Address: 770 Roosevelt Trl, Windham, ME 04062-5300
Phone: (207) 892-2541
Mailing address: 100 Harvest Hill Rd, Windham, ME 04062-5789

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PR47099 (ME)

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Registry record

NPI: 1023572732
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jan 2019
Record last updated: 27 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.