PAWTUXET VALLEY PRESCRIPTION & SURGICAL CENTER,INC
Medical Equipment Supplier Yellow Pages
Coventry, Rhode Island
Provider NPI: 1437282803
Organization Information:Organization Name: PAWTUXET VALLEY PRESCRIPTION & SURGICAL CENTER,INC
Practice Location:
65 SANDY BOTTOM RD COVENTRY, RI 02816 US
Tel: 401-823-9400 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
65 SANDY BOTTOM RD COVENTRY, RI 02816 US
Tel: 401-823-9400 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336L0003X | Suppliers Pharmacy Long Term Care Pharmacy | RI | PHA00001 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
DEA # | AP9400689 | RI | 01 |
NCPDP | 4103406 | RI | 01 |
LICENSE # | PHA00001 | RI | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin