Carl F Difranco Sr., RPH

Individual provider Active NPI Pharmacist · Concord, NH

NPI 1356635536 · NPPES record last updated Dec 20, 2013

Key facts

NPI
1356635536
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PH18172 (MA)
Practice address
165 N State St
Concord, NH 03301-5015
Phone
(603) 223-6713
Fax
(603) 225-8017
NPI assigned
Jun 5, 2011
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PH18172MAMDPharmacist
PR5017MEMDPharmacist
R1417NHMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X R1417 NH
Pharmacist 183500000X PH18172 MA Yes
Pharmacist 183500000X PR5017 ME

Addresses

Primary practice location

165 N State St
Concord, NH 03301-5015

Mailing address

14 Gertrude Rd
Windham, NH 03087-1136

Other providers in Concord, NH

All providers in Concord, NH · Pharmacist in New Hampshire

Sources for this page

Verify at the official NPI Registry.