John Tederous Sr.

Pharmacist · Sanford, ME

Individual Active NPI

NPI number 1669068649

Practice location

800 Main St
Sanford, ME 04073-3500
Phone
(207) 324-3450

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NPI record

NPI
1669068649
Entity type
Individual (Type 1)
Enumeration date
December 14, 2020
Last updated
December 14, 2020
Certified
December 14, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X PR3980 ME

Mailing address

69 Welchs Ln
Sanford, ME 04073-5424
Phone
(207) 608-3747

About John Tederous

John Tederous Sr. is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 800 Main St, Sanford, ME 04073-3500. The NPI number 1669068649 was assigned on December 14, 2020 and the record was last updated on December 14, 2020.

John Tederous lists a license in the registry: #PR3980 (ME) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Tederous Sr.?

The NPI number is 1669068649.

What is the phone number of John Tederous?

The phone number listed for the practice location is (207) 324-3450.

Where is John Tederous located?

800 Main St, Sanford, ME 04073-3500.

What is the taxonomy code for John Tederous?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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