Individual
AUSTIN MANUEL FARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
799 HOPE ST, PROVIDENCE, RI 02906-3635
(401) 331-5240
Mailing address
799 HOPE ST, PROVIDENCE, RI 02906-3635
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH05901
RI
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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