Individual
SUSAN J MACIAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1459 ATWOOD AVE, JOHNSTON, RI 02919-7706
(401) 273-4470
(401) 273-1820
Mailing address
1459 ATWOOD AVE, JOHNSTON, RI 02919-7706
(401) 273-4470
(401) 273-1820
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2515
RI
Other
Enumeration date
05/14/2011
Last updated
05/14/2011
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