NPI 1124572292

Alexander Kolb, PHARMD

Practitioner Pharmacist South Portland, ME

Practice location

Address: 200 Running Hill Rd Cvs Pharmacy, South Portland, ME 04106-3258
Phone: (207) 871-0911

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PR46129 (ME)

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Registry record

NPI: 1124572292
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Aug 2016
Record last updated: 6 Aug 2016

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.