HILLSIDE AVENUE FAMILY AND COMMUNITY MEDICINE LLC NPI 1447392469

NPI Information

HILLSIDE AVENUE FAMILY AND COMMUNITY MEDICINE, LLC is a non pharmacy dispensing site in Pawtucket, RI. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) HILLSIDE AVENUE FAMILY AND COMMUNITY MEDICINE, LLC NPI is 1447392469. The provider is registered as an organization entity type.

The provider's business location address is:

727 EAST AVE
PAWTUCKET, RI
ZIP 02860-184
Phone: (401) 724-6160

The provider's authorized official is Kenny Heine .
The authorized official title is Director Of Operations and has the following contact phone number (858) 625-2990.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 10/17/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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