Individual
SHANNON SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4255 QUAKER LANE, NORTH KINGSTOWN, RI 02852
(401) 372-9101
(401) 519-9853
Mailing address
4255 QUAKER LANE, NORTH KINGSTOWN, RI 02852
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
04607
RI
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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