Pawtuxet Valley Compound Lab

LBN: Pawtuxet Valley Prescription & Surgical Center,Inc
Pawtuxet Valley Compound Lab is an health care organization with primary practice located at 59 Sandy Bottom Rd , Coventry RI 02816-5863. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Pawtuxet Valley Prescription & Surgical Center,Inc can be contacted via phone (401) 821-5000, or through Gilmore, Mark via phone (401) 821-0600.

Contact Information

Primary practice address
59 Sandy Bottom Rd Coventry RI 02816-5863
Phone: (401) 821-5000
Fax: (401) 821-5016
Website:
Map and Directions
Authorized official contact:
Name: Gilmore, Mark RPH
Phone: (401) 821-0600

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X PHA00001 Rhode Island

Profile Details

NPI number 1043343411
LBN Legal business name Pawtuxet Valley Prescription & Surgical Center,Inc
DBA Doing business as Pawtuxet Valley Compound Lab
Authorized official Gilmore, Mark RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043343411 NPPES
Rhode Island Other PHA00001 LICENSE #
Rhode Island Other 4103406 LICENSE #

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