Individual
MRS. MAXINE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
960 BROAD ST, PROVIDENCE, RI 02905-1822
(401) 461-4383
Mailing address
960 BROAD ST, PROVIDENCE, RI 02905-1822
(401) 461-4383
(401) 461-4652
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH04436
RI
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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