Individual
DR. MARC J MYCKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
430 SABATTUS ST, LEWISTON, ME 04240-5430
(207) 783-2013
Mailing address
128 NORWOOD FARMS RD, YORK, ME 03909-1519
(207) 363-5640
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
3324
NH
183500000X
Pharmacist
Primary
PR5029
ME
Other
Enumeration date
11/05/2011
Last updated
11/05/2011
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