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Organization
ASTHENIS, LLC
Active
Organization
ASTHENIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENIO FERNANDEZ (PHARMACIST/OWNER)
(401) 473-3958
Entity
Organization
Contact information
Practice address
206 CRANSTON ST, PROVIDENCE, RI 02907
(401) 473-3958
(401) 861-1837
Mailing address
206 CRANSTON ST, PROVIDENCE, RI 02907-2308
(401) 473-3958
(401) 861-1837
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHA00664
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124520994
—
RI
01
—
2176311
PK
—
Enumeration date
03/07/2018
Last updated
03/15/2023
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