Provider Demographics
NPI:1508349382
Name:DUGUAY, ROGER EDMOND (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ROGER
Middle Name:EDMOND
Last Name:DUGUAY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:469 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:JAY
Mailing Address - State:ME
Mailing Address - Zip Code:04239-5062
Mailing Address - Country:US
Mailing Address - Phone:207-320-9921
Mailing Address - Fax:
Practice Address - Street 1:469 MAIN ST
Practice Address - Street 2:
Practice Address - City:JAY
Practice Address - State:ME
Practice Address - Zip Code:04239-5062
Practice Address - Country:US
Practice Address - Phone:207-320-9921
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-07
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR685881835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy