Individual
MR. JUSTIN L RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
295 ACADEMY AVE, PROVIDENCE, RI 02908-4148
(401) 273-7675
(401) 273-4761
Mailing address
295 ACADEMY AVE, PROVIDENCE, RI 02908-4148
(401) 273-7675
(401) 273-4761
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PCT.0009455
CT
183500000X
Pharmacist
PH25947
MA
183500000X
Pharmacist
Primary
RPH04202
RI
Other
Enumeration date
10/16/2011
Last updated
10/16/2011
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