Healthcare Provider Details

I. General information

NPI: 1629983408
Provider Name (Legal Business Name): GABRIEL GABRO
Entity Type: Individual
Gender: Male
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

640 WARREN AVE
EAST PROVIDENCE RI
02914-1405
US

IV. Provider business mailing address

22 MALLARD COVE WAY
BARRINGTON RI
02806-2743
US

V. Phone/Fax

Practice location:
  • Phone: 401-688-8585
  • Fax:
Mailing address:
  • Phone: 401-688-8585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH06608
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: