Individual
SUSAN HELEN LEVESQUE-DEGRAZIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
400 METACOM AVE, BRISTOL, RI 02809-5188
(401) 253-2050
(401) 254-7413
Mailing address
400 METACOM AVE, BRISTOL, RI 02809-5188
(401) 253-2050
(401) 254-7413
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
19353
MA
183500000X
Pharmacist
Primary
3019
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407950207
CVS PHARMACY 645
RI
Enumeration date
11/30/2020
Last updated
11/30/2020
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