Healthcare Provider Details

I. General information

NPI: 1407676927
Provider Name (Legal Business Name): ALEXYS NICHOLE DUGUAY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2024
Last Update Date: 10/10/2024
Certification Date: 10/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

258 RIVER RD
MEXICO ME
04257-1812
US

IV. Provider business mailing address

361 CARTHAGE RD
CARTHAGE ME
04224-3203
US

V. Phone/Fax

Practice location:
  • Phone: 207-364-2993
  • Fax:
Mailing address:
  • Phone: 207-357-0626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPR72217
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: