Individual
IAN WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
117 CHAPMAN ST STE 200, PROVIDENCE, RI 02905-5400
(401) 444-8073
Mailing address
117 CHAPMAN ST STE 200, PROVIDENCE, RI 02905-5400
(401) 444-8073
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH05708
RI
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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