Individual
DR. KEVIN WILBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D., R.PH.
Contact information
Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-1352
(401) 793-5500
Mailing address
164 SUMMIT AVE., PROVIDENCE, RI 02906
(401) 793-5500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
025236
MA
183500000X
Pharmacist
RPH04245
RI
1835P2201X
Ambulatory Care Pharmacist
Primary
RPH04245
RI
Other
Enumeration date
09/07/2005
Last updated
04/07/2025
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