# LOUJIL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BLACKSTONE HEALTH MART PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225206329
- **Authorized official:** GARY KISHFY RPH (PRESIDENT/PIC)
- **Authorized official phone:** (401) 475-5655

## Contact information

- **Practice address:** 465 LONSDALE AVE, STE B, PAWTUCKET, RI 02860-1874
- **Practice address phone:** (401) 475-5655
- **Practice address fax:** (401) 475-2631
- **Mailing address:** 465 LONSDALE AVE, STE B, PAWTUCKET, RI 02860-1874
- **Mailing address phone:** (401) 475-5655
- **Mailing address fax:** (401) 475-2631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHA00438 | RI | Yes |

## Other

- **Enumeration date:** 02/12/2008
- **Last updated:** 08/23/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4107048 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 05 | — | LI 69635 | — | RI |