Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pawtuxet Valley Prescription & Surgical Center, Inc

Organization Compounding Pharmacy · NPI 1043343411

Pawtuxet Valley Prescription & Surgical Center, Inc is a Compounding Pharmacy in Coventry, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2007.

Licensed in
RI
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

59 Sandy Bottom Rd
Coventry, RI 02816-5863
Phone: (401) 821-5000
Fax: (401) 821-5016
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Compounding Pharmacy (primary) Taxonomy 3336C0004X · Licence PHA00001 (RI)

Record details

NPI number1043343411
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Gilmore — Director Of Operations · (401) 821-0600
Other names Pawtuxet Valley Compound Lab
NPI enumeratedMarch 14, 2007
Last updated in NPPESAugust 22, 2020
Mailing address59 Sandy Bottom Rd, Coventry, RI 02816-5863