Individual
RONALD EDWARD DEANE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 WILTON RD, FARMINGTON, ME 04938-6128
(207) 778-5615
(207) 778-5623
Mailing address
615 WILTON RD, FARMINGTON, ME 04938-6128
(207) 778-5615
(207) 778-5623
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR3773
ME
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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