| Provider / Organization | NPI | Date Certified |
|---|---|---|
| REVATHI WIMS | 1053915918 | 2020-11-22 |
Revathi Wims is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1053915918. Registration indicates Revathi Wims is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Revathi Wims |
| Practice Office Address | 640 WARREN AVE EAST PROVIDENCE, RI US |
| Practice Office Telephone | 4014382272 |
| Mailing Address | 640 WARREN AVE EAST PROVIDENCE, RI 029141405 US |
| Business Telephone | 4014382272 |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | RPH05574
RI |