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Individual

BRIAN LOVEJOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
61 UNION ST, AUBURN, ME 04210-5475
(207) 753-0506
Mailing address
61 UNION ST, AUBURN, ME 04210-5475
(207) 753-0506

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR27923
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PR27923
RPH LICENSE
ME
Enumeration date
10/14/2014
Last updated
10/14/2014
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