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NPI Code Detail

MEDICARE: JULIE ANNE KITTREDGE PHARM D

MEDICARE:   JULIE ANNE KITTREDGE  PHARM D
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
1183500000XPharmacistPR6083ME

General Provider Information

NPI Number : 1588946024
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE ANNE KITTREDGE PHARM D
Provider Business Mailing Address
First Line : 210 FOREST ST
Second Line : UNIT 3
City : WESTBROOK
State : ME
Zip : 04092-4201
Country : US
Telephone Number : 207-756-3036
Fax Number :
Provider Business Practice Location Address
First Line : 15 SACO AVE
Second Line :
City : OLD ORCHARD BEACH
State : ME
Zip : 04064-2242
Country : US
Telephone Number : 207-797-4351
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2011
Last Update Date : 11/04/2011

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Directions to “ JULIE ANNE KITTREDGE PHARM D” Practice Location

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