Provider Demographics
NPI:1124371919
Name:NASLUND, RAYMOND W JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:W
Last Name:NASLUND
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:667 OAKLAND RD
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:ME
Mailing Address - Zip Code:04917-3400
Mailing Address - Country:US
Mailing Address - Phone:207-626-0364
Mailing Address - Fax:
Practice Address - Street 1:667 OAKLAND RD
Practice Address - Street 2:
Practice Address - City:BELGRADE
Practice Address - State:ME
Practice Address - Zip Code:04917-3400
Practice Address - Country:US
Practice Address - Phone:207-626-0364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR4598183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist