OrganizationActive
East Side Prescription Center Inc
NPI 1194760470 · Community/Retail Pharmacy · Providence, RI
Provider details
- NPI number
- 1194760470
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Richard Backer, Pres(401) 751-1430
- License
- ES04467 (RI)
Specialties & taxonomies
Suppliers
Suppliers
Practice location
632 Hope St
Providence, RI 02906-2658
Phone: (401) 751-1430
Fax: (401) 454-8096
Approximate (ZIP-level) locationGet directions
Mailing address
632 Hope St
Providence, RI 02906-2658
Registry dates
- Enumerated
- 2006-06-19
- Last updated
- 2009-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.