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Organization

PHUSION RX #102, LLC

Active
Other names
Phusion Rx
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID CHARLES HUGHES PHARM.D. (CEO & PRESIDENT)
(855) 748-7466
Entity
Organization

Contact information

Practice address
42 LADD ST, UNIT #208, EAST GREENWICH, RI 02818-4361
(855) 748-7466
Mailing address
42 LADD ST, UNIT #208, EAST GREENWICH, RI 02818-4361
(855) 748-7466

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3336C0004X
Compounding Pharmacy

Other

Enumeration date
03/11/2014
Last updated
12/23/2014
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