Individual
RILEY LIZOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 STILLWATER AVE, BANGOR, ME 04401-3602
(207) 947-5811
Mailing address
75 SHAW HILL RD, HAMPDEN, ME 04444-3408
(207) 316-3422
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR12901
ME
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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