Individual
CASEY O'HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
100 BROAD ST, PAWTUCKET, RI 02860-2024
(401) 724-6724
Mailing address
100 BROAD ST, PAWTUCKET, RI 02860-2024
(401) 724-6724
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH05039
RI
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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