Individual
KRYSTAL BRITTANY BEVILACQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 DAVOL SQ STE 400, PROVIDENCE, RI 02903-4752
(401) 421-4000
Mailing address
10 DAVOL SQ STE 400, PROVIDENCE, RI 02903-4752
(401) 421-4000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5014
RI
Other
Enumeration date
09/22/2011
Last updated
06/06/2023
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