| NPI | 1609306919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CAPUANO Pharmacist/Owner 401-861-1194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: RI PHA00542) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2025-04-01 |