Organization · Type 2 NPI

Hillside Avenue Family and Community Medicine, LLC

Non-Pharmacy Dispensing Site · Pawtucket, RI

NPI number 1447392469 Active

Practice location

727 East Ave
Pawtucket, RI 02860-6184

Mailing address

5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XMD06978 (RI)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

23 other providers at this address

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About NPI 1447392469

Hillside Avenue Family and Community Medicine, LLC's National Provider Identifier is 1447392469, issued on Feb 13, 2007. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Pawtucket, RI. The record was last updated on Oct 17, 2012.