Organization
PHRED S DRUG INC
Active
Other names
PHREDS DRUG INC
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES ROSSI RPH (PRESIDENT)
(401) 463-6300
Entity
Organization
Contact information
Practice address
1300 OAKLAWN AVE, CRANSTON, RI 02920-2635
(401) 463-6300
(401) 463-3012
Mailing address
PO BOX 20250, CRANSTON, RI 02920-0943
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHA00260
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2088246
PK
—
05
—
PD00133
—
RI
Enumeration date
09/20/2006
Last updated
11/29/2016
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