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Individual

FRED SACCOCCIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH

Contact information

Practice address
15 SMITHFIELD ROAD, NO PROVIDENCE, RI 02904
(401) 353-4075
(401) 353-9614
Mailing address
15 JASMINE LANE, JOHNSTON, RI 02919
(401) 934-2048

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2654
RI

Other

Enumeration date
03/16/2016
Last updated
03/16/2016
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