Individual
NERLANDES P THEMISTOCLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
131 WEBSTER AVE, PROVIDENCE, RI 02909-2931
(401) 405-6185
Mailing address
131 WEBSTER AVE, PROVIDENCE, RI 02909-2931
(401) 405-6185
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
04269
RI
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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