Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ETHAN CLARENCE GAGNON
ActiveMR. ETHAN CLARENCE GAGNON is a Pharmacy Technician healthcare provider located in TOPSHAM, Maine. NPI 1942983184 is currently active in the NPPES registry. Verify at CMS.
Pharmacy Technician · TOPSHAM, ME
Registration Details
- NPI Number
- 1942983184
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 14, 2023 (3.0168922769267 yrs)
- Last Updated
- Aug 14, 2023
- License
-
PI71263 (ME)
Practice Information
- Address
-
125 TOPSHAM FAIR MALL RDTOPSHAM, ME, 040861741Browse ME providers · Browse ZIP 04086
- Phone
- 2075045051
- Fax
- 2075045396
- Primary Specialty
-
Pharmacy Technician
183700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.