Individual
CHRISTOPHER R GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1048 UNION ST, SUITE 5, BANGOR, ME 04401-8600
(207) 945-5247
(207) 992-2154
Mailing address
1048 UNION ST, SUITE 5, BANGOR, ME 04401
(207) 945-5247
(207) 992-2154
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR4521
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4521
LICENSE - DEPT OF PROFESS
ME
Enumeration date
05/04/2007
Last updated
01/28/2008
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