Individual
DR. JESSICA MARIE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
186 PROVIDENCE ST, WEST WARWICK, RI 02893-2508
(401) 615-2800
Mailing address
4 CROWN DR UNIT 302, QUINCY, MA 02169-5468
(508) 566-6763
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH237591
MA
1835P2201X
Ambulatory Care Pharmacist
Primary
RPH05929
RI
Other
Enumeration date
09/04/2017
Last updated
01/22/2019
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