Organization · Type 2 NPI

Brown University of Provedence State of Ri and Prov Plantaio

Community/Retail Pharmacy · Providence, RI

NPI number 1629013149 Active

Practice location

450 Brook Street
Providence, RI 02912-9006

Call (401) 863-7882 Map

Fax (401) 863-2178

Mailing address

13 Brown St
Providence, RI 02912-9006

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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NPI record

NPI: 1629013149
Entity type: Organization (Type 2)
Issued: Jun 18, 2006
Last updated: Sep 16, 2021
Status: Active

Other names

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Brown University Student Health Center Pharmacy · doing business as
Brown University Student Health Center Pharmacy · doing business as

Authorized official

Paul Bergeron
Director of Pharmacy
(401) 863-7882

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629013149

Brown University of Provedence State of Ri and Prov Plantaio's National Provider Identifier is 1629013149, issued on Jun 18, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Providence, RI. The record was last updated on Sep 16, 2021.