Jessica Allen
Pharmacist in Portland, ME. Individual provider (NPI-1).
NPI number1366087413
StatusActive
Last updated in NPPESNov 13, 2019
Details
- NPI
- 1366087413
- Entity type
- Individual (NPI-1)
- Name
- Jessica Allen
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 13, 2019
- Last updated
- Nov 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PR69306 | ME | Yes |
Practice location
295 Forest AvePortland, ME 04101-2018
Phone 207-885-6138
Mailing address
6a Summer LnGray, ME 04039-7769
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