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Organization
LASALLE PHARMACY,INC
Active
Organization
LASALLE PHARMACY,INC
Active
Other names
JB PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM J ROSA RPH (PRESIDENT)
(401) 232-1194
Entity
Organization
Contact information
Practice address
113 PUTNAM PIKE, JOHNSTON, RI 02919-2047
(401) 232-1194
Mailing address
113 PUTNAM PIKE, JOHNSTON, RI 02919-2047
(401) 232-1194
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
02235
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHA00356
STATE LICENSE NUMBER
RI
Enumeration date
06/12/2006
Last updated
08/22/2020
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