Individual
PAUL TELLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1 VA CTR # 119, AUGUSTA, ME 04330-6719
(207) 623-8411
(207) 623-5731
Mailing address
1 VA CTR # 119, AUGUSTA, ME 04330-6719
(207) 623-8411
(207) 623-5731
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
2011015231
MO
183500000X
Pharmacist
Primary
PR6027
ME
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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