Provider Demographics
NPI:1700277175
Name:DURIGAN, RAYMOND CHRISTOPHER III (PHARMD,BCPS)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:CHRISTOPHER
Last Name:DURIGAN
Suffix:III
Gender:M
Credentials:PHARMD,BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 HOPE HILL TER
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02921-2729
Mailing Address - Country:US
Mailing Address - Phone:401-225-4994
Mailing Address - Fax:
Practice Address - Street 1:450 CLINTON ST
Practice Address - Street 2:THUNDERMIST HEALTH CENTER
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-3207
Practice Address - Country:US
Practice Address - Phone:401-767-4000
Practice Address - Fax:401-235-6893
Is Sole Proprietor?:No
Enumeration Date:2015-02-06
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP4490251835P1200X
RIRPH056361835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy