Individual
DR. TYSON RICHARD FEARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
532 MAIN ST, SACO, ME 04072-1526
(207) 282-4131
Mailing address
532 MAIN ST, SACO, ME 04072-1526
(207) 282-4131
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR12495
ME
Other
Enumeration date
12/06/2020
Last updated
12/06/2020
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