Chrysalis Wild
Pharmacist · Bangor, ME
Practice location
60 Longview DrBangor, ME 04401-3629
- Phone
- (207) 945-9977
NPI record
- NPI
- 1407231558
- Entity type
- Individual (Type 1)
- Enumeration date
- July 29, 2015
- Last updated
- July 29, 2015
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X |
PR12432 | ME |
About Chrysalis Wild
Chrysalis Wild is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 60 Longview Dr, Bangor, ME 04401-3629. The NPI number 1407231558 was assigned on July 29, 2015 and the record was last updated on July 29, 2015.
Chrysalis Wild lists a license in the registry: #PR12432 (ME) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Chrysalis Wild?
The NPI number is 1407231558.
What is the phone number of Chrysalis Wild?
The phone number listed for the practice location is (207) 945-9977.
Where is Chrysalis Wild located?
60 Longview Dr, Bangor, ME 04401-3629.
What is the taxonomy code for Chrysalis Wild?
The primary taxonomy code is 183500000X – Pharmacist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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