# APOTHACA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PHUSION RX, INC.
- **Other names:** Phusion Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790076651
- **Legal business name:** PHUSION RX, INC.
- **Authorized official:** DR. DAVID C HUGHES PHARM.D. (PRESIDENT AND CEO)
- **Authorized official phone:** (401) 481-3001

## Contact information

- **Practice address:** 17 COVENTRY SHOPPERS PARK, COVENTRY, RI 02816-5702
- **Practice address phone:** (401) 481-3001
- **Practice address fax:** (401) 633-6566
- **Mailing address:** 17 COVENTRY SHOPPERS PARK, COVENTRY, RI 02816-5702
- **Mailing address phone:** (401) 481-3001
- **Mailing address fax:** (401) 633-6566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PENDING | RI | Yes |
| 3336C0004X | Compounding Pharmacy | PENDING | RI | — |

## Other

- **Enumeration date:** 04/27/2011
- **Last updated:** 05/11/2011