Individual
TELL D SACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT-ADV
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-3699
Mailing address
14 GEORGIANA DR, CUMBERLAND, RI 02864-1106
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PH202862
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1208299
PTCB
—
01
—
1439351
NABP
—
Enumeration date
05/23/2025
Last updated
05/23/2025
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