Healthcare Provider Details

I. General information

NPI: 1730301201
Provider Name (Legal Business Name): ANN W. NAHILL RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 SANFORD RD
WELLS ME
04090-5533
US

IV. Provider business mailing address

118 RICHARDS AVE
PORTSMOUTH NH
03801-5236
US

V. Phone/Fax

Practice location:
  • Phone: 207-641-8912
  • Fax:
Mailing address:
  • Phone: 603-436-9359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPR5146
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number20243
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: