Individual
JOY G BOUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1086 WILLETT AVE, RIVERSIDE, RI 02915-2067
(401) 433-5710
(401) 433-5713
Mailing address
763 OAK GROVE AVE APT 3, FALL RIVER, MA 02720-7435
(401) 741-2796
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
04143
RI
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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