Provider Demographics
NPI:1225638729
Name:LEMAY, STEVEN RICKEY
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:RICKEY
Last Name:LEMAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 BALD HILL RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-1863
Mailing Address - Country:US
Mailing Address - Phone:401-821-7844
Mailing Address - Fax:401-821-7549
Practice Address - Street 1:650 BALD HILL RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-1863
Practice Address - Country:US
Practice Address - Phone:401-821-7844
Practice Address - Fax:401-821-7549
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH02384183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist