Organization
GENTER'S PHARMACY CORP
Active
Other names
NDS pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH GOODMAN R,PH. (SEC/TREAS)
(401) 941-5698
Entity
Organization
Contact information
Practice address
866 BROAD ST, PROVIDENCE, RI 02907-1724
(401) 941-5698
(401) 785-3399
Mailing address
866 BROAD ST, PROVIDENCE, RI 02907-1724
(401) 941-5698
(401) 785-3399
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
342001
RI
332B00000X
Durable Medical Equipment & Medical Supplies
—
RI
3336C0003X
Community/Retail Pharmacy
104
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342001
—
RI
05
—
GP00056
—
RI
Enumeration date
10/27/2006
Last updated
02/22/2008
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