Provider Demographics
NPI:1710277157
Name:CHARPENTIER, ROBERT R (RPH)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:R
Last Name:CHARPENTIER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2055 WARWICK AVE
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02889-3144
Mailing Address - Country:US
Mailing Address - Phone:401-738-6300
Mailing Address - Fax:
Practice Address - Street 1:2055 WARWICK AVE
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02889-3144
Practice Address - Country:US
Practice Address - Phone:401-738-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-18
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI02885183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist