Individual
JEANA DEPAMPHILIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1665 MINERAL SPRING AVE, NORTH PROVIDENCE, RI 02904-4003
(401) 353-3113
Mailing address
1665 MINERAL SPRING AVE, NORTH PROVIDENCE, RI 02904-4003
(401) 353-3113
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4416
RI
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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