Individual
ANN SAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1665 MINERAL SPRING AVE, NORTH PROVIDENCE, RI 02904-4003
(401) 353-3113
Mailing address
28 EASTERN AVE, EAST PROVIDENCE, RI 02914-2108
(401) 572-4752
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
05280
RI
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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