Individual
MATTHEW ANTHONY AUTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
12 HIGH ST, LEWISTON, ME 04240-7676
(207) 795-7177
Mailing address
12 HIGH ST, LEWISTON, ME 04240-7676
(207) 795-7177
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR13101
ME
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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