NPI 1063992295

Michael McMahon

Practitioner Pharmacist Portland, ME

Practice location

Address: 290 Congress St, Portland, ME 04101-3684
Phone: (207) 774-0344

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PR68645 (ME)

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Registry record

NPI: 1063992295
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Aug 2018
Record last updated: 16 Aug 2018

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.