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NPI Code Detail

MEDICARE: KATE DEBOER PHARMD, RPH

MEDICARE: KATE DEBOER PHARMD, RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRPH06572RI

General Provider Information

NPI Number : 1649050188
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATE DEBOER PHARMD, RPH
Provider Business Mailing Address
First Line : 56 BRAMBLEWOOD LN
Second Line :
City : WAKEFIELD
State : RI
Zip : 02879-7694
Country : US
Telephone Number : 401-302-7025
Fax Number :
Provider Business Practice Location Address
First Line : 11 MAIN ST
Second Line :
City : WAKEFIELD
State : RI
Zip : 02879-3569
Country : US
Telephone Number : 401-783-3384
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2023
Last Update Date : 05/05/2026

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Directions to “ KATE DEBOER PHARMD, RPH” Practice Location

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