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KELLY CARUSO

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1467828376

Individual Registrant:
 KELLY  CARUSO 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
465 MAIN ST  WESTBROOK, ME 04092-4328 US
Tel: 570-421-1773  Fax: --

Contact information for business:
286 FRONT ST APT 1  SOUTH PORTLAND, ME 04106-1558 US
Tel: 207-240-5015  Fax: --

Registration Information:
NPI: 1467828376
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
MEPR45380

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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