Individual
SHAMAILA IMAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 MAIN ST, WEST WARWICK, RI 02893-4830
(401) 828-9793
Mailing address
10 FOREST HILLS DR, EXETER, RI 02822-2402
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH05474
RI
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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