Individual
REAGAN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 ALLEN ST APT 4, BANGOR, ME 04401-4477
(269) 599-3052
Mailing address
111 ALLEN ST APT 4, BANGOR, ME 04401-4477
(269) 599-3052
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PI45601
ME
Other
Enumeration date
10/03/2015
Last updated
10/03/2015
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