Individual
PETER OTTAVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
83 HOSPITAL ST, AUGUSTA, ME 04330-6617
(207) 623-1414
Mailing address
83 HOSPITAL ST, AUGUSTA, ME 04330-6617
(207) 623-1414
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
3057
NH
183500000X
Pharmacist
Primary
PR4675
ME
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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