Most Relevant Information
Provider Data
NPI Number: | 1003226291 |
Provider Name: | BRIANNA COLVILLE PHARM D |
Entity Type: | Individual |
Taxonomy Code: | 183500000X |
Specialty: | Pharmacist |
License Number: | PR12971 |
Most Important Dates
Enumeration Date: | 04/28/2014 |
Last Updated: | 04/28/2014 |
Provider Practice Location
233 US ROUTE 1
SCARBOROUGH
ME
040748910
Practice Location Phone/Fax
Phone: | 2078832115 |
Fax: |
Provider Mailing Location
233 US ROUTE 1
SCARBOROUGH
ME
040748910
Provider Mailing Phone/Fax
Phone: | |
Fax: |