Individual
MRS. LAURIE B PHENIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
88 SILVA LANE, TECH 4, SUITE 110, MIDDLETOWN, RI 02842
(401) 334-1065
(401) 619-5215
Mailing address
MAGELLAN RX MANAGEMENT, 88 SILVA LANE, TECH 4, SUITE 110, MIDDLETOWN, RI 02842
(401) 334-1065
(401) 619-5215
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH22873
MA
Other
Enumeration date
06/30/2011
Last updated
01/31/2019
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