MEDICARE: DR. JUSTIN CULSHAW PHARMD

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
1	1835C0205X	Critical Care Pharmacist	RPH06656	RI

General Provider Information

NPI Number	:	1720905045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUSTIN CULSHAW PHARMD

Provider Business Mailing Address
First Line	:	15 EDGEWOOD DR
Second Line	:
City	:	BARRINGTON
State	:	RI
Zip	:	02806-1609
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	593 EDDY ST
Second Line	:
City	:	PROVIDENCE
State	:	RI
Zip	:	02903-4923
Country	:	US
Telephone Number	:	401-666-5299
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2026
Last Update Date	:	06/30/2026

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