Individual
JAY MELANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 HARDY RD, FALMOUTH, ME 04105-2427
(207) 878-3928
Mailing address
114 HARDY RD, FALMOUTH, ME 04105-2427
(207) 878-3928
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
183500000X
ME
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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