Individual
DR. JARED T GULLUSCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
763 TIOGUE AVE, COVENTRY, RI 02816-5805
(401) 821-2060
Mailing address
6 EVERGREEN LN, WESTERLY, RI 02891-4902
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PCT0014574
CT
183500000X
Pharmacist
Primary
RPH05933
RI
Other
Enumeration date
11/16/2020
Last updated
12/20/2020
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