Individual
DANA GAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
31 FAIRVIEW DR, WEST KINGSTON, RI 02892-1964
(401) 742-2225
Mailing address
31 FAIRVIEW DR, WEST KINGSTON, RI 02892-1964
(401) 742-2225
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
R3642
RI
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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