Provider Demographics
NPI:1871895904
Name:CUTTS, STEPHEN (PHARMD, AE-C)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:CUTTS
Suffix:
Gender:M
Credentials:PHARMD, AE-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 THAMES ST
Mailing Address - Street 2:SUITE 4B
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02840-6631
Mailing Address - Country:US
Mailing Address - Phone:401-619-5212
Mailing Address - Fax:
Practice Address - Street 1:360 THAMES ST
Practice Address - Street 2:SUITE 4B
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02840-6631
Practice Address - Country:US
Practice Address - Phone:401-619-5212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-22
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH04843183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist