MEDICARE: DR. ASHLEY VIGLIOTTI

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
1	183500000X	Pharmacist	RPH05315	RI

General Provider Information

NPI Number	:	1295127595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHLEY VIGLIOTTI

Provider Business Mailing Address
First Line	:	897 HARTFORD AVE
Second Line	:
City	:	JOHNSTON
State	:	RI
Zip	:	02919-5035
Country	:	US
Telephone Number	:	401-489-3399
Fax Number	:

Provider Business Practice Location Address
First Line	:	1074 MINERAL SPRING AVE
Second Line	:
City	:	NORTH PROVIDENCE
State	:	RI
Zip	:	02904-4104
Country	:	US
Telephone Number	:	401-331-2636
Fax Number	:	401-727-2740

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2015
Last Update Date	:	02/23/2015

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