Individual
MR. JAMIE FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1459 ATWOOD AVE, JOHNSTON, RI 02919-7706
(401) 273-4470
Mailing address
25 OAK VALLEY LN, HARRISVILLE, RI 02830-1892
(401) 710-7872
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH04477
RI
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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