Ethan Gervais, PHARMD
NPI #1518637222 in South Portland, Maine
Provider Information
- NPI Number
- 1518637222
- Entity Type
- Individual
- Name
- Ethan Gervais, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Sep 14, 2021
- Last Updated
- Sep 14, 2021
Practice Location
- Address
- 279 MAIN ST
- City
- South Portland
- State
- Maine
- ZIP Code
- 04106-2629
- Phone
- (207) 741-2260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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