Provider Demographics
NPI:1649522343
Name:DIMASE, LUCY MARIA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LUCY
Middle Name:MARIA
Last Name:DIMASE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:LUCIA
Other - Middle Name:MARIA
Other - Last Name:DIMASE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:45 BALSAM DRIVE
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818
Mailing Address - Country:US
Mailing Address - Phone:401-886-9736
Mailing Address - Fax:
Practice Address - Street 1:593 EDDY ST
Practice Address - Street 2:RI HOSPITAL -PHARMACY DEPARTMENT
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4923
Practice Address - Country:US
Practice Address - Phone:401-444-8172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-05
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI38281835P0018X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist