Jared T Gulluscio, RPH Valid NPI
Individual provider · Pharmacist · Coventry, RI
- NPI
- 1508468356
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- RPH05933 (RI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2020-11-16
- Last updated
- 2020-12-20
Practice location
763 Tiogue Ave
Coventry, RI 02816-5805
(401) 821-2060