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Individual

DR. MICHAEL N CHUPKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2007 N BELFAST AVE, AUGUSTA, ME 04330-4363
(207) 622-2626
Mailing address
298 ALDEN AVE, EDISON, NJ 08820-1923
(732) 735-9208

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR12611
ME

Other

Enumeration date
12/09/2012
Last updated
12/09/2012
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