Provider Demographics
NPI:1538882493
Name:CARON, SUSAN M (RPH)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:M
Last Name:CARON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MISS
Other - First Name:SUSAN
Other - Middle Name:M
Other - Last Name:HIGGINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:22 NATHAN RD
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03087-4400
Mailing Address - Country:US
Mailing Address - Phone:978-376-3501
Mailing Address - Fax:
Practice Address - Street 1:4 PLAISTOW RD
Practice Address - Street 2:
Practice Address - City:PLAISTOW
Practice Address - State:NH
Practice Address - Zip Code:03865-4806
Practice Address - Country:US
Practice Address - Phone:603-382-5885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHR1926183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist