Individual
LARYSSA DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
767 WARWICK AVE, WARWICK, RI 02888-2601
(401) 467-7788
Mailing address
767 WARWICK AVE, WARWICK, RI 02888-2601
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH06092
RI
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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