Individual
TYLER DAVID LOUNSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
29 WHITTEN RD, AUGUSTA, ME 04330-6018
(207) 622-3148
Mailing address
29 WHITTEN RD, AUGUSTA, ME 04330-6018
(207) 622-3148
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR72098
ME
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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