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Brandon Emanuel Roque

Pharmacist in Fall River, MA. Individual provider (NPI-1).

NPI number1164036000
StatusActive
Last updated in NPPESSep 8, 2020

Details

NPI
1164036000
Entity type
Individual (NPI-1)
Name
Brandon Emanuel Roque
Sex
Male
Sole proprietor
No
Enumeration date
Sep 8, 2020
Certification date
Sep 8, 2020
Last updated
Sep 8, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPH237022MAYes

Practice location

1512 S Main St
Fall River, MA 02724-2606

Phone 508-674-0255

Mailing address

1512 S Main St
Fall River, MA 02724-2606

Phone 508-674-0255

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