Vaillancourt, Amy Lynne

Vaillancourt, Amy Lynne is an individual health care provider with primary practice located at 194 E Main St , Fort Kent ME 04743-1428. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Vaillancourt, Amy Lynne can be contacted via phone (207) 834-1690.

Contact Information

Primary practice address
194 E Main St Fort Kent ME 04743-1428
Phone: (207) 834-1690
Fax: (207) 834-1691
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PR46755 Maine

Profile Details

NPI number 1720504509
LBN Legal business name Vaillancourt, Amy Lynne
Credentials PHARMD.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2017
Last updated Oct 1st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720504509 NPPES
Maine Other PR46755 MAINE BOARD OF PHARMACY

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