Individual
MR. MICHAEL JOHN KASSABIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 MAIN ST, WAKEFIELD, RI 02879-3569
(401) 783-3384
Mailing address
11 MAIN ST, WAKEFIELD, RI 02879-3562
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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