NPI 1295130425

Audrey Sanicola

Practitioner Pharmacist South Portland, ME

Practice location

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

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PR13005 (ME)

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Registry record

NPI: 1295130425
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Oct 2014
Record last updated: 30 Oct 2014

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.