Individual
SUSAN CHERYL PATOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
500 MAIN RD, TIVERTON, RI 02878-1349
(401) 624-8421
(401) 624-1298
Mailing address
500 MAIN RD, TIVERTON, RI 02878-1349
(401) 624-8421
(401) 624-1298
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
00321
RI
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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