Individual
JONATHAN VIOLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
119 BRIDGTON RD, FRYEBURG, ME 04037-1407
(207) 935-2045
(207) 935-7671
Mailing address
47 JEFFERSON RD, CENTER CONWAY, NH 03813-4342
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
3123
NH
183500000X
Pharmacist
PH23829
MA
183500000X
Pharmacist
Primary
PR4711
ME
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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