Individual
MS. NANCY LISBETH TYNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
(401) 457-3372
Mailing address
5 CLIFF AVE, PORTSMOUTH, RI 02871-5001
(401) 293-0027
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
02800
RI
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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