Individual
CHARLES AGWUNOBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1017 SMITH ST, PROVIDENCE, RI 02908-2747
(401) 499-5427
Mailing address
1017 SMITH ST, PROVIDENCE, RI 02908-2747
(401) 499-5427
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
04694
RI
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH04694
RI
Other
Enumeration date
03/04/2020
Last updated
05/22/2020
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