Healthcare Provider Details

I. General information

NPI: 1457512857
Provider Name (Legal Business Name): KRISTIN J STRATTMAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2008
Last Update Date: 06/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

719 TIOGUE AVE
COVENTRY RI
02816-5803
US

IV. Provider business mailing address

689 MIDDLE RD
EAST GREENWICH RI
02818-2343
US

V. Phone/Fax

Practice location:
  • Phone: 401-822-4800
  • Fax: 401-821-4580
Mailing address:
  • Phone: 401-559-7464
  • Fax: 401-821-4580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH04451
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: