Organization
PAWTUXET VALLEY PRESCRIPTION & SURGICAL CENTER,INC
Active
Other names
Pawtuxet Valley Long Term Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GILMORE RPH (DIRECTOR OF OPERATIONS)
(401) 821-0600
Entity
Organization
Contact information
Practice address
65 SANDY BOTTOM RD, COVENTRY, RI 02816-5863
(401) 823-9400
(410) 822-0262
Mailing address
65 SANDY BOTTOM RD, COVENTRY, RI 02816-5863
(401) 823-9400
(410) 822-0262
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PHA00001
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4103406
NCPDP
RI
01
—
PHA00001
LICENSE #
RI
Enumeration date
03/14/2007
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up