Individual
MRS. DEBORAH J KANOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
591 METACOM AVE, BRISTOL, RI 02809-5131
(401) 254-3903
(401) 254-3907
Mailing address
52 MIDDLE ST, RIVERSIDE, RI 02915-4640
(401) 254-3903
(401) 254-3907
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
11128
MA
183500000X
Pharmacist
Primary
RPH04429
RI
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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