Individual
DR. STEPHEN J KOGUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH PHD
Contact information
Practice address
345 BLACKSTONE BLVD, PHARMACY, PROVIDENCE, RI 02906-4800
(401) 455-6316
Mailing address
15 WALDEN WAY, CRANSTON, RI 02921-1247
(401) 580-2452
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3494
RI
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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