Provider Demographics
NPI:1881297760
Name:READY, DAVID (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:READY
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 HANNAFORD DR
Mailing Address - Street 2:
Mailing Address - City:CHINA
Mailing Address - State:ME
Mailing Address - Zip Code:04358-5361
Mailing Address - Country:US
Mailing Address - Phone:207-445-3389
Mailing Address - Fax:207-445-3393
Practice Address - Street 1:33 HANNAFORD DR
Practice Address - Street 2:
Practice Address - City:CHINA
Practice Address - State:ME
Practice Address - Zip Code:04358-5361
Practice Address - Country:US
Practice Address - Phone:207-445-3389
Practice Address - Fax:207-445-3393
Is Sole Proprietor?:No
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR5198183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist