Provider Demographics
NPI:1598313785
Name:CHAPDELAINE, CASSANDRA DOROTHY (PHARMD)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:DOROTHY
Last Name:CHAPDELAINE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 KENNEDY MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04901-4558
Mailing Address - Country:US
Mailing Address - Phone:207-680-3001
Mailing Address - Fax:
Practice Address - Street 1:251 KENNEDY MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:WATERVILLE
Practice Address - State:ME
Practice Address - Zip Code:04901-4558
Practice Address - Country:US
Practice Address - Phone:207-680-3001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-30
Last Update Date:2020-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR69350183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist