Organization
OCEAN PHARMACY CHARLESTOWN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KETTLE (OWNER)
(401) 364-0900
Entity
Organization
Contact information
Practice address
3986 OLD POST RD., CHARLESTOWN, RI 02813
(401) 364-0900
Mailing address
3986 OLD POST RD., P.O. BOX 840, CHARLESTOWN, RI 02813
(401) 364-0900
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHA00329
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OP45494
—
RI
05
—
OP45515
—
RI
Enumeration date
11/24/2006
Last updated
03/07/2012
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