NPI 1225628514

Paul Jerome Mentag

Practitioner Pharmacy Technician Freeport, ME

Practice location

Address: 17 Bailey Farm Rd, Freeport, ME 04032-5808
Phone: (207) 869-5833

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X

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Registry record

NPI: 1225628514
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jan 2021
Record last updated: 21 Jan 2021

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.