NPI 1023410644

Miatta Zoe Gray

Practitioner Pharmacist E Providence, RI

Practice location

Address: 655 Warren Ave, E Providence, RI 02914-1404
Phone: (617) 596-7053

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH05385 (RI)

Other Pharmacist providers in Rhode Island →

Registry record

NPI: 1023410644
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2014
Record last updated: 26 Sep 2014

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.