Individual
NICHOLAS SHANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
242 PAWTUXET AVE, WARWICK, RI 02888-1933
(401) 524-9375
Mailing address
242 PAWTUXET AVE, WARWICK, RI 02888-1933
(401) 524-9375
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH03134
RI
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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