MEDICARE: ADRIANNA MARIE RICCIO

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	RPH06056	RI

General Provider Information

NPI Number	:	1982291811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIANNA MARIE RICCIO

Provider Business Mailing Address
First Line	:	622 GEORGE WASHINGTON HWY STE 302
Second Line	:
City	:	LINCOLN
State	:	RI
Zip	:	02865-4211
Country	:	US
Telephone Number	:	401-334-0754
Fax Number	:	401-334-5024

Provider Business Practice Location Address
First Line	:	622 GEORGE WASHINGTON HWY STE 302
Second Line	:
City	:	LINCOLN
State	:	RI
Zip	:	02865-4211
Country	:	US
Telephone Number	:	401-334-0754
Fax Number	:	401-334-5024

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

Provider Enumeration Date	:	12/27/2020
Last Update Date	:	11/24/2024

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Directions to “ ADRIANNA MARIE RICCIO ” Practice Location

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