OrganizationActive
Brown University of Provedence State of Ri and Prov Plantaio
NPI 1629013149 · Community/Retail Pharmacy · Providence, RI
Provider details
- NPI number
- 1629013149
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Authorized official
- Paul Bergeron, Director of Pharmacy
Practice location
450 Brook Street
Providence, RI 02912-9006
Phone: (401) 863-7882
Fax: (401) 863-2178
Mailing address
13 Brown St
Providence, RI 02912-9006
Registry dates
- Enumerated
- 2006-06-18
- Last updated
- 2021-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.