MEDICARE: ANDREW HOWARD CHINN PHARMD, RPH

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
1	183500000X	Pharmacist	PR47111	ME

General Provider Information

NPI Number	:	1841793379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW HOWARD CHINN PHARMD, RPH

Provider Business Mailing Address
First Line	:	123 FILES RD
Second Line	:
City	:	GORHAM
State	:	ME
Zip	:	04038-2115
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 TRAP FALLS ROAD EXT
Second Line	:
City	:	SHELTON
State	:	CT
Zip	:	06484-4646
Country	:	US
Telephone Number	:	203-683-9257
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2018
Last Update Date	:	02/09/2026

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