Healthcare Provider Details

I. General information

NPI: 1881986073
Provider Name (Legal Business Name): DAVID NEIL GIRARD BS PHARMACY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2011
Last Update Date: 05/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5945 POST RD
NORTH KINGSTOWN RI
02852-1301
US

IV. Provider business mailing address

5945 POST RD
NORTH KINGSTOWN RI
02852-1301
US

V. Phone/Fax

Practice location:
  • Phone: 401-885-5100
  • Fax: 401-884-1772
Mailing address:
  • Phone: 401-885-5100
  • Fax: 401-884-1772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2158
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: