Individual
SERGIO MOTACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
295 ACADEMY AVE, PROVIDENCE, RI 02908-4148
(401) 273-7675
Mailing address
1494 W SHORE RD, WARWICK, RI 02889-4528
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4045
RI
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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