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Matthew Girard Hermenau, PharmD

Pharmacist in Providence, RI. Individual provider (NPI-1).

NPI number1659933232
StatusActive
Last updated in NPPESJul 3, 2019

Details

NPI
1659933232
Entity type
Individual (NPI-1)
Name
Matthew Girard Hermenau
Credential
PharmD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 3, 2019
Last updated
Jul 3, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist238298MAYes

Practice location

830 Chalkstone Ave
Providence, RI 02908-4734

Phone 401-723-7100

Mailing address

830 Chalkstone Ave
Providence, RI 02908-4734

Phone 401-273-7100

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