Kelsie Jane Anderson, PHARMD

Individual provider Active NPI Pharmacist · Dover Foxcroft, ME

NPI 1952830705 · NPPES record last updated Jun 6, 2017

Key facts

NPI
1952830705
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PR45449 (ME)
Practice address
151 E Main St
Dover Foxcroft, ME 04426-1304
Phone
(207) 564-9011
NPI assigned
Jun 6, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PR45449MEMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PR45449 ME Yes

Addresses

Primary practice location

151 E Main St
Dover Foxcroft, ME 04426-1304

Mailing address

151 E Main St
Dover Foxcroft, ME 04426-1304
Phone (207) 564-9011

Other providers in Dover Foxcroft, ME

All providers in Dover Foxcroft, ME · Pharmacist in Maine

Sources for this page

Verify at the official NPI Registry.