MARC J MYCKO

LEWISTON, ME
NPI1588941595
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: ME  PR5029)
Additional Taxonomies183500000X Pharmacist
(Licence: NH  3324)
Enumeration Date2011-11-05
Last Update Date2011-11-05
Business Address
Dr. MARC J MYCKO Pharm D
430 SABATTUS ST
LEWISTON, ME 04240-5430
Phone number: 207-783-2013
Mailing Address
Dr. MARC J MYCKO Pharm D
128 NORWOOD FARMS RD
YORK, ME 03909-1519
Phone number: 207-363-5640