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NPI Code Detail

MEDICARE: ARIANA PERRY PHARMD.

MEDICARE: ARIANA PERRY PHARMD.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPR46093ME

General Provider Information

NPI Number : 1104379312
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIANA PERRY PHARMD.
Provider Business Mailing Address
First Line : 121 MARGARET ST APT A
Second Line :
City : SOUTH PORTLAND
State : ME
Zip : 04106-2045
Country : US
Telephone Number : 207-649-6628
Fax Number :
Provider Business Practice Location Address
First Line : 600 US ROUTE 1
Second Line :
City : SCARBOROUGH
State : ME
Zip : 04074-9776
Country : US
Telephone Number : 207-885-1515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2016
Last Update Date : 07/25/2016

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