Active NPIIndividual provider

Mr. Ethan C Gagnon

Pharmacy Technician in Topsham, Maine

NPI Number1942983184
Practice location
125 Topsham Fair Mall RD, Topsham, ME 04086-1741
Fax
207-504-5396
Last updated
August 14, 2023

Ethan Clarence Gagnon is a Pharmacy Technician based in Topsham, ME. Ethan Clarence Gagnon practices in Topsham, ME. The NPI Number for Ethan Clarence Gagnon is 1942983184 and holds a License No. PI71263 (ME). The current practice location address for Ethan Clarence Gagnon is 125 Topsham Fair Mall RD, Topsham, ME 04086-1741 and can be reached out via phone at 207-504-5051 and via fax at 207-504-5396.

Provider Profile Details

NPI Number
1942983184
Provider Name
Ethan Clarence Gagnon
Provider Entity Type
Individual
Gender
Male
Address
125 Topsham Fair Mall RD, Topsham, ME 04086-1741
Phone Number
207-504-5051
Fax Number
207-504-5396
Primary Taxonomy
Pharmacy Technician · 183700000X
Sole Proprietor
No
Provider Enumeration Date
August 14, 2023
Last Update Date
August 14, 2023
Certification Date
August 12, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
125 Topsham Fair Mall RD
Topsham, ME 04086-1741
State
Maine
Zip
04086-1741
Phone Number
207-504-5051
Fax Number
207-504-5396
Topsham, ME 04086Get directions →

Provider Business Mailing Address Details

Address
301 Oak Grove Ave Apt 25
Bath, ME 04530-2372
City
Bath
State
ME
Zip
04530-2372
Phone Number
207-380-7153

License Information

License Number
PI71263
License State
ME
Taxonomy
Pharmacy Technician · 183700000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Ethan C Gagnon?

The NPI number of Mr. Ethan C Gagnon is 1942983184. It was assigned on August 14, 2023 and is currently active in the NPPES registry.

What is the specialty of Mr. Ethan C Gagnon?

Mr. Ethan C Gagnon is registered under the primary taxonomy Pharmacy Technician (code 183700000X), licensed in ME under license number PI71263.

Where does Mr. Ethan C Gagnon practice?

The practice location is 125 Topsham Fair Mall RD, Topsham, ME 04086-1741. The office can be reached at 207-504-5051 (phone) or 207-504-5396 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942983184 directly on the NPPES registry website.

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