Healthcare Provider Details

I. General information

NPI: 1700277175
Provider Name (Legal Business Name): RAYMOND CHRISTOPHER DURIGAN III PHARMD,BCPS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2015
Last Update Date: 10/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 CLINTON ST THUNDERMIST HEALTH CENTER
WOONSOCKET RI
02895-3207
US

IV. Provider business mailing address

128 HOPE HILL TER
CRANSTON RI
02921-2729
US

V. Phone/Fax

Practice location:
  • Phone: 401-767-4000
  • Fax: 401-235-6893
Mailing address:
  • Phone: 401-225-4994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberRP449025
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberRPH05636
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: