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Individual

DR. KATHLEEN MARY MELBOURNE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
400 RESERVOIR AVE, SUITE 1D COASTAL MEDICAL, PROVIDENCE, RI 02907-3565
(401) 781-2400
(401) 781-2687
Mailing address
50 MORRIS ST, WARWICK, RI 02889-3426
(401) 739-0176

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH03595
RI
1835P1200X
Pharmacotherapy Pharmacist
Primary
RPH03595
RI

Other

Enumeration date
08/23/2005
Last updated
09/11/2025
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