Individual
REVATHI WIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 CHAPMAN ST, PROVIDENCE, RI 02905-5400
(401) 444-9909
Mailing address
117 CHAPMAN ST, PROVIDENCE, RI 02905-5400
(401) 444-9909
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH05574
RI
Other
Enumeration date
11/22/2020
Last updated
03/11/2024
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