Individual
MICHAEL ANTHONY SHAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
36 MOOSEHEAD TRL, NEWPORT, ME 04953-4108
(207) 368-5754
Mailing address
36 MOOSEHEAD TRL, NEWPORT, ME 04953-4108
(207) 368-5754
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR12928
ME
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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