Individual
KRISTEN SOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S, RPH
Contact information
Practice address
2 MANNING CT, COVENTRY, RI 02816-7660
(401) 580-7655
Mailing address
2 MANNING CT, COVENTRY, RI 02816-7660
(401) 580-7655
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH236126
MA
183500000X
Pharmacist
Primary
PS52840
FL
Other
Enumeration date
11/10/2014
Last updated
11/07/2015
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