NPI 1043343411

Pawtuxet Valley Prescription & Surgical Center,inc

Organisation Compounding Pharmacy Coventry, RI

Practice location

Address: 59 Sandy Bottom Rd, Coventry, RI 02816-5863
Phone: (401) 821-5000
Fax: (401) 821-5016

Authorised official

Name: Mark Gilmore
Title: Director of Operations
Phone: (401) 821-0600

Registered specialties

Compounding Pharmacy Primary

Suppliers Taxonomy 3336C0004X Licence PHA00001 (RI)

Other Pharmacy providers in Rhode Island →

Registry record

NPI: 1043343411
Entity type: Organization
NPI issued: 14 Mar 2007
Record last updated: 22 Aug 2020

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.