Individual
MARTHA VICTORIA MAMBULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2400 WARWICK AVE, WARWICK, RI 02889-4263
(401) 737-2305
Mailing address
618 MAIN ST UNIT 1210, COVENTRY, RI 02816-7887
(774) 238-8094
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH234595
MA
183500000X
Pharmacist
Primary
RPH05393
RI
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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