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Individual

MR. MICHAEL TAKACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
16 OLDE FORT RD, CAPE ELIZABETH, ME 04107-1813
(207) 329-9977
Mailing address
16 OLDE FORT RD, CAPE ELIZABETH, ME 04107-1813
(207) 329-9977

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4385
ME
183500000X
Pharmacist
R1372
ME

Other

Enumeration date
03/24/2006
Last updated
01/14/2013
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