Federico, Matt Joseph

Federico, Matt Joseph is an individual health care provider with primary practice located at 1155 Main St , West Warwick RI 02893-4830. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Federico, Matt Joseph can be contacted via phone (401) 828-9793.

Contact Information

Primary practice address
1155 Main St West Warwick RI 02893-4830
Phone: (401) 828-9793
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH4967 Rhode Island

Profile Details

NPI number 1043749385
LBN Legal business name Federico, Matt Joseph
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2017
Last updated Jun 11th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043749385 NPPES
Rhode Island Other RPH4967 RI DEPARTMENT OF HEALTH

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