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Search › Rhode Island › 1835P2201X

Jack Mountain, PHARMD

NPI 1265111769 · on the registry since 2023

Practice

Address
117 Chapman St Ste 200
Providence, RI 02905
Phone
(401) 444-9909
Organisation at this address
Lifespan Pharmacy, Llc
Lifespan Pharmacy, Llc
Lifespan Pharmacy, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
56

Additional practice sites

  • 1493 Cambridge St, Cambridge, MA

Registry record

Primary taxonomy
1835P2201X
1835P2201X
Also registered as
183500000X
Licence states on file
MA, RI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-07-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island