OrganizationActive
Prime Drug Inc
NPI 1679621676 · Community/Retail Pharmacy · Providence, RI
Provider details
- NPI number
- 1679621676
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Carmine Detomasis, Vp(401) 521-9660
- License
- PHA00075 (RI)
Specialties & taxonomies
Suppliers
Practice location
613 Cranston St
Providence, RI 02907-2813
Phone: (401) 521-9660
Fax: (401) 861-1177
Approximate (ZIP-level) locationGet directions
Mailing address
613 Cranston St
Providence, RI 02907-2813
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2008-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.