MR. Owen Theriault, PHARMD.

NPI #1144501347 in Lewiston, Maine

Provider Information

NPI Number: 1144501347
Entity Type: Individual
Name: MR. Owen Theriault, PHARMD.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD.
Enumeration Date: Aug 31, 2011
Last Updated: Jun 5, 2019

Practice Location

Address: 987 LISBON ST
City: Lewiston
State: Maine
ZIP Code: 04240
Phone: (207) 784-9588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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