Individual
KEVIN G MENDONCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
220 NEWPORT AVE, RUMFORD, RI 02916-2117
(401) 434-1333
Mailing address
220 NEWPORT AVE, RUMFORD, RI 02916-2117
(401) 434-1333
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH05018
RI
Other
Enumeration date
09/21/2011
Last updated
08/26/2016
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