Provider Demographics
NPI:1730778143
Name:LARRAT, E PAUL (RPH, PHD)
Entity type:Individual
Prefix:DR
First Name:E
Middle Name:PAUL
Last Name:LARRAT
Suffix:
Gender:M
Credentials:RPH, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:853 GILBERT STUART RD
Mailing Address - Street 2:
Mailing Address - City:SAUNDERSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02874-2911
Mailing Address - Country:US
Mailing Address - Phone:401-741-3924
Mailing Address - Fax:
Practice Address - Street 1:7 GREENHOUSE RD
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:RI
Practice Address - Zip Code:02881-2018
Practice Address - Country:US
Practice Address - Phone:401-874-5003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI2835183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist