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Organization
RHODE ISLAND VETERANS HOME
Active
Organization
RHODE ISLAND VETERANS HOME
Active
Other names
Rhode Island Veterans Home
Organization subpart
No
Provider details
NPI number
Authorized official
NIGEL MUSGRAVE (DIRECTOR OF PHARMACY SERVICES)
(401) 253-8000
Entity
Organization
Contact information
Practice address
480 METACOM AVE, BRISTOL, RI 02809-5119
(401) 253-8000
(401) 396-8125
Mailing address
480 METACOM AVE, BRISTOL, RI 02809-5119
(401) 253-8000
(401) 396-8125
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
PHB00029
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176705
PK
—
Enumeration date
04/02/2018
Last updated
04/02/2018
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