Individual
DR. GRACE LEEWAN TO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
160 BROADWAY, RAYNHAM, MA 02767-1414
(508) 692-6751
(508) 692-6751
Mailing address
26 BROOKWOOD RD, BRISTOL, RI 02809-1215
(401) 486-1502
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH237659
MA
183500000X
Pharmacist
RPH05804
RI
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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