Individual
DR. RYAN RICHARD SOUCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
713 BROADWAY, BANGOR, ME 04401-3225
(207) 942-5521
(207) 990-4411
Mailing address
713 BROADWAY, BANGOR, ME 04401-3225
(207) 942-5521
(207) 990-4411
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5052
ME
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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