Healthcare Provider Details

I. General information

NPI: 1932014602
Provider Name (Legal Business Name): CAROLINE CORRIGAN
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

567 VFW PKWY
CHESTNUT HILL MA
02467-3620
US

IV. Provider business mailing address

5 VICTORIA DR
SMITHFIELD RI
02917-2386
US

V. Phone/Fax

Practice location:
  • Phone: 401-595-8704
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberPH1003782
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: