Healthcare Provider Details

I. General information

NPI: 1437717964
Provider Name (Legal Business Name): HEATHER JOAN CARTWRIGHT CPHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2019
Last Update Date: 05/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 HIGHLAND CORPORATE DR # 8066
CUMBERLAND RI
02864-8703
US

IV. Provider business mailing address

19 GREENVILLE RD
N SMITHFIELD RI
02896-7519
US

V. Phone/Fax

Practice location:
  • Phone: 401-770-9454
  • Fax: 401-262-5914
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberPH201555
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: