Individual
MS. MARY TERESE MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
681 RESERVOIR AVE, CRANSTON, RI 02910-3220
(401) 943-7186
Mailing address
53 WARMAN AVE, CRANSTON, RI 02920-3227
(401) 864-7703
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
02389
RI
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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