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Individual

MR. THOMAS LEWIS KOTREDES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
210 STATE ST, BANGOR, ME 04401-5411
(207) 947-8369
Mailing address
48 KNOX AVE, BANGOR, ME 04401-3316
(207) 942-7187

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR3235
ME

Other

Enumeration date
09/27/2013
Last updated
09/27/2013
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