Healthcare Provider Details

I. General information

NPI: 1720199318
Provider Name (Legal Business Name): ANN M VASSEY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 VA CTR PHARMACY (119)
AUGUSTA ME
04330-6719
US

IV. Provider business mailing address

1418 AUGUSTA RD
WINSLOW ME
04901-0726
US

V. Phone/Fax

Practice location:
  • Phone: 207-623-8411
  • Fax: 207-621-7357
Mailing address:
  • Phone: 207-873-1665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835N1003X
TaxonomyNutrition Support Pharmacist
License Number003622
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number003622
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: