Individual
DIANE CLAIRE CLOUTIER DOSTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
461 MAIN ST, SACO, ME 04072-1528
(207) 284-4363
(207) 284-8229
Mailing address
461 MAIN ST, SACO, ME 04072-1528
(207) 284-4363
(207) 284-8229
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR4357
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PR4357
PHARMACY LICENSE
ME
Enumeration date
05/10/2010
Last updated
05/10/2010
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