Individual
PAUL F BRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2470 WARWICK AVE, WARWICK, RI 02889-4263
(401) 732-4060
Mailing address
2470 WARWICK AVE, WARWICK, RI 02889-4263
(401) 732-4060
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH03329
RI
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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