Provider Demographics
NPI:1588268684
Name:MONTEIRO, PAULA C (PHARMD)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:C
Last Name:MONTEIRO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 TAYLOR DR
Mailing Address - Street 2:
Mailing Address - City:NORTH SMITHFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02896-9326
Mailing Address - Country:US
Mailing Address - Phone:401-241-5553
Mailing Address - Fax:
Practice Address - Street 1:120 EDDIE DOWLING HWY
Practice Address - Street 2:
Practice Address - City:NORTH SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02896-8214
Practice Address - Country:US
Practice Address - Phone:401-762-3172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI04826183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist