Individual
MARC J DESLAURIERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1031 TEN ROD RD, NORTH KINGSTOWN, RI 02852-4125
(401) 294-3455
Mailing address
1031 TEN ROD RD, NORTH KINGSTOWN, RI 02852-4125
(401) 294-3455
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3911
RI
Other
Enumeration date
11/15/2020
Last updated
11/15/2020
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