NPI 1003561655
Aj Pharmacy Store 02
Practice location
- Address
- 468 Smithfield Rd, North Providence, RI 02904-4266
- Phone
- (401) 366-2800
- Mailing address
- 1017 Smith St, Providence, RI 02908-2747
Authorised official
- Name
- Charles Agwunobi
- Title
- Owner
- Phone
- (401) 499-5427
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1003561655
- Entity type
- Organization
- NPI issued
- 12 Feb 2022
- Record last updated
- 8 Sep 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.