NPI 1144826165

Tyson Richard Fearon

Practitioner Pharmacist Saco, ME

Practice location

Address: 532 Main St, Saco, ME 04072-1526
Phone: (207) 282-4131

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PR12495 (ME)

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Registry record

NPI: 1144826165
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Dec 2020
Record last updated: 6 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.