Individual
IRINA M BOGUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
727 EAST AVE, PAWTUCKET, RI 02860-6184
(401) 724-6800
Mailing address
17 LORI DR, NORTH PROVIDENCE, RI 02911-1102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
04458
RI
183500000X
Pharmacist
26340
MA
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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