Paula Knight, RPH

Individual provider Active NPI Pharmacist · Randolph, ME

NPI 1972970549 · NPPES record last updated Aug 30, 2015

Key facts

NPI
1972970549
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PR4203 (ME)
Practice address
268 Water St
Randolph, ME 04346-5217
Phone
(207) 588-2482
Fax
(207) 588-0038
NPI assigned
Aug 30, 2015
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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PR4203MEMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PR4203 ME Yes

Addresses

Primary practice location

268 Water St
Randolph, ME 04346-5217

Mailing address

268 Water St
Randolph, ME 04346-5217
Phone (207) 588-2482

Other providers in Randolph, ME

All providers in Randolph, ME · Pharmacist in Maine

Sources for this page

Verify at the official NPI Registry.