Most Relevant Information
Provider Data
NPI Number: | 1003196734 |
Provider Name: | LAURA MARASS |
Entity Type: | Individual |
Taxonomy Code: | 183500000X |
Specialty: | Pharmacist |
License Number: | PR4573 |
Most Important Dates
Enumeration Date: | 08/25/2011 |
Last Updated: | 08/25/2011 |
Provider Practice Location
741 ROOSEVELT TRL
WINDHAM
ME
040625269
Practice Location Phone/Fax
Phone: | 2078932562 |
Fax: | 2078932568 |
Provider Mailing Location
741 ROOSEVELT TRL
WINDHAM
ME
040625269
Provider Mailing Phone/Fax
Phone: | 2078932562 |
Fax: | 2078932568 |