# OCEAN PHARMACY CHARLESTOWN INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013083963
- **Authorized official:** KATHLEEN KETTLE (OWNER)
- **Authorized official phone:** (401) 364-0900

## Contact information

- **Practice address:** 3986 OLD POST RD., CHARLESTOWN, RI 02813
- **Practice address phone:** (401) 364-0900
- **Mailing address:** 3986 OLD POST RD., P.O. BOX 840, CHARLESTOWN, RI 02813
- **Mailing address phone:** (401) 364-0900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHA00329 | RI | Yes |

## Other

- **Enumeration date:** 11/24/2006
- **Last updated:** 03/07/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | OP45494 | — | RI |
| 05 | — | OP45515 | — | RI |