Individual
MATTHEW DECOTEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
254 MAIN ST, BELFAST, ME 04915-6572
(207) 338-4411
Mailing address
31 WALDO AVE, BELFAST, ME 04915-6613
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5027
ME
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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