Individual
DR. ERICA TAVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
830 CHALKSTONE AVE, PHARMACY DEPARTMENT (119), PROVIDENCE, RI 02908-4734
(401) 273-7100
(401) 457-1421
Mailing address
830 CHALKSTONE AVE, PHARMACY DEPARTMENT (119), PROVIDENCE, RI 02908-4734
(401) 273-7100
(401) 457-1421
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH04772
RI
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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