Most Relevant Information
Provider Data
| NPI Number: | 1003542689 |
| Provider Name: | NWANDO PRIAM RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PR46865 |
Most Important Dates
| Enumeration Date: | 07/26/2022 |
| Last Updated: | 07/26/2022 |
Provider Practice Location
51 MARKET ST
SOUTH PORTLAND
ME
041063617
Practice Location Phone/Fax
| Phone: | 2077998166 |
| Fax: |
Provider Mailing Location
20 CHESLEY AVE
PORTLAND
ME
041033615
Provider Mailing Phone/Fax
| Phone: | 3477680484 |
| Fax: |