Individual
MIA LOREN MARCELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 WARREN AVE, EAST PROVIDENCE, RI 02914-1432
(401) 606-1004
Mailing address
950 WARREN AVE, EAST PROVIDENCE, RI 02914-1432
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH05781
RI
Other
Enumeration date
09/13/2017
Last updated
07/31/2025
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