Individual
LUCAS A NICOLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
1086 WILLETT AVE, RIVERSIDE, RI 02915-2067
(401) 433-5710
Mailing address
1086 WILLETT AVE, RIVERSIDE, RI 02915-2067
(401) 433-5710
(401) 433-5713
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PCT.0016816
CT
183500000X
Pharmacist
Primary
RPH06705
RI
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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