Organization
PRESCRIPTION PHARMACY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE DYER RPH (PHARMACIST IN HCARGE)
(401) 228-3047
Entity
Organization
Contact information
Practice address
285 GOVERNOR ST LOWR LEVEL, PROVIDENCE, RI 02906-3237
(401) 228-3388
(855) 439-4579
Mailing address
1210 PONTIAC AVE, 3RD FLOOR, CRANSTON, RI 02920-4490
(401) 467-2223
(401) 781-4570
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHA00615
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167281
PK
—
Enumeration date
01/06/2017
Last updated
07/09/2019
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