Casey Poussard

NPI #1891171393 in Winslow, Maine

Provider Information

NPI Number: 1891171393
Entity Type: Individual
Name: Casey Poussard
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Aug 6, 2015
Last Updated: Aug 6, 2015

Practice Location

Address: 36 CHINA RD
City: Winslow
State: Maine
ZIP Code: 04901-7246
Phone: (207) 872-2728

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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