Provider Demographics
NPI:1598585002
Name:VUONG, JEREMY (PHARMD)
Entity type:Individual
Prefix:
First Name:JEREMY
Middle Name:
Last Name:VUONG
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 1:16 BEAVER WOODS DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04222-5491
Mailing Address - Country:US
Mailing Address - Phone:207-841-6886
Mailing Address - Fax:
Practice Address - Street 1:340 COUNTY RD
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:ME
Practice Address - Zip Code:04092-1901
Practice Address - Country:US
Practice Address - Phone:207-662-1800
Practice Address - Fax:207-661-7838
Is Sole Proprietor?:No
Enumeration Date:2024-10-10
Last Update Date:2025-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR72023183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist