Provider Demographics
NPI:1942588611
Name:L'HEUREUX, RAYMOND ROGER (RPH)
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:ROGER
Last Name:L'HEUREUX
Suffix:
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 1:244 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SACO
Mailing Address - State:ME
Mailing Address - Zip Code:04072-1509
Mailing Address - Country:US
Mailing Address - Phone:207-283-2792
Mailing Address - Fax:207-283-4356
Practice Address - Street 1:244 MAIN ST
Practice Address - Street 2:
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-1509
Practice Address - Country:US
Practice Address - Phone:207-283-2792
Practice Address - Fax:207-283-4356
Is Sole Proprietor?:No
Enumeration Date:2011-07-29
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR3237183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist