NPI 1134808256

Fabrice Iraduha

Practitioner Pharmacist Windham, ME

Practice location

Address: 30 Landing Rd, Windham, ME 04062-5560
Phone: (207) 893-0603
Mailing address: 72 Purchas St, Portland, ME 04102-1152

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PR71575 (ME)

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Registry record

NPI: 1134808256
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jul 2023
Record last updated: 17 Jul 2023

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.