Individual
JESSE GLECKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 WOODRUFF AVE, NARRAGANSETT, RI 02882-3423
(401) 792-7179
Mailing address
20 WOODRUFF AVE, NARRAGANSETT, RI 02882-3423
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH05116
RI
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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