Individual
LEO LARIVIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
58 TUM A LUM CIR, WESTERLY, RI 02891-3156
(401) 637-4917
Mailing address
58 TUM A LUM CIR, WESTERLY, RI 02891-3156
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3817
RI
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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