Provider Demographics
NPI:1962013227
Name:GARRAHY, BRIANA BRUNO
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:BRUNO
Last Name:GARRAHY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 SHADOWBROOK XING
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-1256
Mailing Address - Country:US
Mailing Address - Phone:401-965-9342
Mailing Address - Fax:
Practice Address - Street 1:7 DOWLING VILLAGE BLVD
Practice Address - Street 2:
Practice Address - City:NORTH SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02896-8266
Practice Address - Country:US
Practice Address - Phone:401-766-0273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH05945183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist