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Individual

EVAN MAILLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
7 E MAIN RD, MIDDLETOWN, RI 02842-4911
(401) 849-4600
(401) 849-4120
Mailing address
7 E MAIN RD, MIDDLETOWN, RI 02842-4911
(401) 849-4600
(401) 849-4120

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH235339
MA
183500000X
Pharmacist
RPH05361
RI

Other

Enumeration date
08/12/2014
Last updated
08/12/2014
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