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NPI Code Detail

MEDICARE: ALEXA RYANN PERKINS PHARMD

MEDICARE:   ALEXA RYANN PERKINS  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
1183500000XPharmacistPR71067ME

General Provider Information

NPI Number : 1164123170
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXA RYANN PERKINS PHARMD
Provider Business Mailing Address
First Line : 710 EAST JAY ROAD
Second Line :
City : JAY
State : ME
Zip : 04239
Country : US
Telephone Number : 207-620-4866
Fax Number :
Provider Business Practice Location Address
First Line : 317 MAIN ST
Second Line :
City : FARMINGTON
State : ME
Zip : 04938-5803
Country : US
Telephone Number : 207-778-3919
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2023
Last Update Date : 03/15/2023

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Directions to “ ALEXA RYANN PERKINS PHARMD” Practice Location

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