NPI 1104131630

Prafull Bhaurao Kore

Practitioner Pharmacist Waterville, ME

Practice location

Address: 210 Main St, Waterville, ME 04901-6116
Phone: (207) 877-9004
Mailing address: 392 Werstern Ave APT 383, Augusta, ME 04330

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PR5672 (ME)

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Registry record

NPI: 1104131630
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Aug 2010
Record last updated: 19 Aug 2010

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.