# RHODE ISLAND VETERANS HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rhode Island Veterans Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699271403
- **Authorized official:** NIGEL MUSGRAVE (DIRECTOR OF PHARMACY SERVICES)
- **Authorized official phone:** (401) 253-8000

## Contact information

- **Practice address:** 480 METACOM AVE, BRISTOL, RI 02809-5119
- **Practice address phone:** (401) 253-8000
- **Practice address fax:** (401) 396-8125
- **Mailing address:** 480 METACOM AVE, BRISTOL, RI 02809-5119
- **Mailing address phone:** (401) 253-8000
- **Mailing address fax:** (401) 396-8125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PHB00029 | RI | Yes |

## Other

- **Enumeration date:** 04/02/2018
- **Last updated:** 04/02/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2176705 | PK | — |