Individual
NICHOLAS PETTEGROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 COLLEGE CIR, BANGOR, ME 04401-2929
(207) 249-2017
Mailing address
1 COLLEGE CIR, BANGOR, ME 04401-2929
(207) 249-2017
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PI28029
ME
Other
Enumeration date
07/24/2017
Last updated
07/21/2022
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