Active NPIIndividual providerSole proprietor

Miranda Beaudoin

Pharmacist in Portland, Maine

NPI Number1255612644
Practice location
340 Allen Ave, Portland, ME 04103-3804
Fax
207-878-0546
Last updated
August 30, 2011

Miranda Beaudoin is a Pharmacist based in Portland, ME. Miranda Beaudoin practices in Portland, ME. The NPI Number for Miranda Beaudoin is 1255612644 and holds a License No. pr5642 (ME). The current practice location address for Miranda Beaudoin is 340 Allen Ave, Portland, ME 04103-3804 and can be reached out via phone at 207-878-0530 and via fax at 207-878-0546.

Provider Profile Details

NPI Number
1255612644
Provider Name
Miranda Beaudoin
Provider Entity Type
Individual
Gender
Female
Address
340 Allen Ave, Portland, ME 04103-3804
Phone Number
207-878-0530
Fax Number
207-878-0546
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
August 30, 2011
Last Update Date
August 30, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
340 Allen Ave
Portland, ME 04103-3804
State
Maine
Zip
04103-3804
Phone Number
207-878-0530
Fax Number
207-878-0546
Portland, ME 04103Get directions →

Provider Business Mailing Address Details

Address
539 Auburn St
Portland, ME 04103-6006
City
Portland
State
ME
Zip
04103-6006

License Information

License Number
pr5642
License State
ME
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miranda Beaudoin?

The NPI number of Miranda Beaudoin is 1255612644. It was assigned on August 30, 2011 and is currently active in the NPPES registry.

What is the specialty of Miranda Beaudoin?

Miranda Beaudoin is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in ME under license number pr5642.

Where does Miranda Beaudoin practice?

The practice location is 340 Allen Ave, Portland, ME 04103-3804. The office can be reached at 207-878-0530 (phone) or 207-878-0546 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255612644 directly on the NPPES registry website.

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