MRS. Shelley Renee Illingworth, RPH

NPI #1265721773 in Hermon, Maine

Provider Information

NPI Number
1265721773
Entity Type
Individual
Name
MRS. Shelley Renee Illingworth, RPH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Apr 5, 2011
Last Updated
Jan 28, 2016

Practice Location

Address
2402 ROUTE 2 UNIT 1
City
Hermon
State
Maine
ZIP Code
04401-0665
Phone
(207) 848-2020

Specialties & Taxonomy Codes

Specialty
Pharmacist

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