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NPI Code Detail

MEDICARE: POONAM DABBAS

MEDICARE: POONAM DABBAS
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
1183500000XPharmacistPR5719ME

General Provider Information

NPI Number : 1346552122
Entity Type Code : Individual
Provider Name (Legal Business Name) : POONAM DABBAS
Provider Business Mailing Address
First Line : 225 MADISON AVE
Second Line :
City : SKOWHEGAN
State : ME
Zip : 04976-2054
Country : US
Telephone Number : 207-474-2525
Fax Number : 207-474-8987
Provider Business Practice Location Address
First Line : 225 MADISON AVE
Second Line :
City : SKOWHEGAN
State : ME
Zip : 04976-2054
Country : US
Telephone Number : 207-474-2525
Fax Number : 207-474-8987
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2010
Last Update Date : 07/08/2010

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Directions to “ POONAM DABBAS ” Practice Location

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