Individual
RON JOSEPH CHASE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
210 STATE ST, BANGOR, ME 04401-5411
(120) 794-7836
Mailing address
382 GRANDVIEW AVE, BANGOR, ME 04401-3228
(120) 794-7089
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR3617
ME
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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