Provider Demographics
NPI:1598488306
Name:WARD, PAIGE ETHIER (PHARMD)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:ETHIER
Last Name:WARD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:STEPHANIE
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:150 GRANITE ST
Mailing Address - Street 2:
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-2439
Mailing Address - Country:US
Mailing Address - Phone:401-348-2070
Mailing Address - Fax:
Practice Address - Street 1:150 GRANITE ST
Practice Address - Street 2:
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-2439
Practice Address - Country:US
Practice Address - Phone:401-348-2070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI05898183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist