Healthcare Provider Details

I. General information

NPI: 1033145818
Provider Name (Legal Business Name): ELEANOR SLATER HOSPITAL PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 09/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 HOWARD AVE
CRANSTON RI
02920-3001
US

IV. Provider business mailing address

111 HOWARD AVE MATHIAS BUILDING
CRANSTON RI
02920-3001
US

V. Phone/Fax

Practice location:
  • Phone: 401-462-3077
  • Fax: 401-462-0974
Mailing address:
  • Phone: 401-462-3077
  • Fax: 401-462-0974

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPHB00026
License Number StateRI

VIII. Authorized Official

Name: CATHY HOPKINS
Title or Position: ADMINISTRATOR OF PHARMACY SVS
Credential: RPH
Phone: 401-462-3077