Healthcare Provider Details

I. General information

NPI: 1053774935
Provider Name (Legal Business Name): PATRICK S COTE PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2016
Last Update Date: 03/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 CIVIC CENTER DR
AUGUSTA ME
04330-7902
US

IV. Provider business mailing address

460 CIVIC CENTER DR
AUGUSTA ME
04330-7902
US

V. Phone/Fax

Practice location:
  • Phone: 207-624-0200
  • Fax: 207-624-0201
Mailing address:
  • Phone: 207-624-0200
  • Fax: 207-624-0201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License NumberPR12962
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: