Individual
JASON LUKE LAPORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
403 WATER ST, AUGUSTA, ME 04330-4667
(207) 629-9401
Mailing address
403 WATER ST, AUGUSTA, ME 04330-4667
(207) 629-9401
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR68762
ME
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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