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Organization
BROWN UNIVERSITY OF PROVEDENCE STATE OF RI AND PROV PLANTAIO
Active
Organization
BROWN UNIVERSITY OF PROVEDENCE STATE OF RI AND PROV PLANTAIO
Active
Other names
BROWN UNIVERSITY STUDENT HEALTH CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BERGERON (DIRECTOR OF PHARMACY)
(401) 863-7882
Entity
Organization
Contact information
Practice address
450 BROOK STREET, PROVIDENCE, RI 02912-9006
(401) 863-7882
(401) 863-2178
Mailing address
13 BROWN ST, PROVIDENCE, RI 02912-9006
(401) 863-7882
(401) 863-2178
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2088775
PK
—
Enumeration date
06/18/2006
Last updated
09/16/2021
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