Individual
PATRICK JASON TRACEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
763 TIOGUE AVE, COVENTRY, RI 02816-5805
(401) 821-2060
Mailing address
763 TIOGUE AVE, COVENTRY, RI 02816-5805
(401) 821-2060
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH06428
RI
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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