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Organization
VAN EEGHENS PHARMACY LLC
Active
Organization
VAN EEGHENS PHARMACY LLC
Active
Other names
Van Eeghen's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE VAN EEGHEN (OWNER/PIC/AO)
(401) 741-7738
Entity
Organization
Contact information
Practice address
650 OAKLAWN AVE STE E, CRANSTON, RI 02920-2811
(401) 741-7738
(401) 741-7738
Mailing address
650 OAKLAWN AVE STE E, CRANSTON, RI 02920-2811
(401) 741-7738
(401) 741-7738
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHA0065
RI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176145
PK
—
Enumeration date
02/22/2018
Last updated
07/19/2018
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