Provider Demographics
NPI:1750441994
Name:CHAPEL PHARMACY INC
Entity type:Organization
Organization Name:CHAPEL PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP SEC AND PIC
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GARABEDIAN
Authorized Official - Suffix:
Authorized Official - Credentials:BS RPH
Authorized Official - Phone:401-333-5858
Mailing Address - Street 1:2081 DIAMOND HILL RD
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-5123
Mailing Address - Country:US
Mailing Address - Phone:401-333-5858
Mailing Address - Fax:401-334-0559
Practice Address - Street 1:2081 DIAMOND HILL RD
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-5123
Practice Address - Country:US
Practice Address - Phone:401-333-5858
Practice Address - Fax:401-334-0559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
RIPHA000193336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2088711OtherPK
RI0137870Medicaid