Individual
JACOB PAUL FELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
10 DONALD B DEAN DR STE 3, SOUTH PORTLAND, ME 04106-3372
(207) 910-0771
(207) 910-0772
Mailing address
6 BRIDLE PATH WAY, CAPE ELIZABETH, ME 04107-1802
(402) 301-7136
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14693
NE
183500000X
Pharmacist
PR27919
ME
Other
Enumeration date
04/23/2018
Last updated
11/06/2025
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