Individual
JASON PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
624 WILTON ROAD, FARMINGTON, ME 04938
(207) 778-5419
(207) 778-5983
Mailing address
624 WILTON RD, FARMINGTON, ME 04938-6138
(207) 778-5419
(207) 778-5983
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR4922
ME
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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