Individual
STEPHANIE NICOLE AHEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
835 NEWPORT AVE, PAWTUCKET, RI 02861-2641
(401) 726-0724
Mailing address
835 NEWPORT AVE, PAWTUCKET, RI 02861-2641
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH04775
RI
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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