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DR. CARRIE LEE LEICHTWEIS PHARM.D.

Pharmacy Service Providers Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Provider NPI: 1225491723

Provider Information:
DR. CARRIE LEE LEICHTWEIS PHARM.D.
Gender: F
Not Sole Proprietor

Practice Location:
489 STATE ST  BANGOR, ME 04401-6616 US
Tel: 207-706-6863  Fax: --

Business Mailing Address:
489 STATE ST  BANGOR, ME 04401-6616 US
Tel: 207-706-6863  Fax: --

NPI Information:
NPI: 1225491723
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1835P0018XPharmacy Service Providers
Pharmacist
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
MEPR45352

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 1835P0018X

Type:

Classification:



Definition:



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