Healthcare Provider Details

I. General information

NPI: 1174110415
Provider Name (Legal Business Name): DARREN NELSON PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2020
Last Update Date: 12/21/2020
Certification Date: 12/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 PLAZA DR
UNITY ME
04988-3917
US

IV. Provider business mailing address

PO BOX 143
UNITY ME
04988-0143
US

V. Phone/Fax

Practice location:
  • Phone: 207-948-3950
  • Fax: 207-948-5658
Mailing address:
  • Phone: 207-948-3950
  • Fax: 207-948-5658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPR5521
License Number StateME

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: