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NPI Code Detail

MEDICARE: KRISTIN ANNE PIMENTEL RPH

MEDICARE: KRISTIN ANNE PIMENTEL RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPH24862RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PH24862OTHERRIPHARMACY LICENSE

General Provider Information

NPI Number : 1033707484
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN ANNE PIMENTEL RPH
Provider Business Mailing Address
First Line : 1360 W MAIN RD
Second Line :
City : MIDDLETOWN
State : RI
Zip : 02842-6301
Country : US
Telephone Number : 401-849-9640
Fax Number : 401-849-0848
Provider Business Practice Location Address
First Line : 1360 W MAIN RD
Second Line :
City : MIDDLETOWN
State : RI
Zip : 02842-6301
Country : US
Telephone Number : 401-849-9640
Fax Number : 401-849-0848
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2020
Last Update Date : 12/31/2020

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Directions to “ KRISTIN ANNE PIMENTEL RPH” Practice Location

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