Provider Demographics
NPI:1740495217
Name:RADWANSKI, KAREN LYNN (RPH)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:LYNN
Last Name:RADWANSKI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 MANCHESTER ST STE 5A
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-5101
Mailing Address - Country:US
Mailing Address - Phone:603-606-9357
Mailing Address - Fax:603-217-2075
Practice Address - Street 1:117 MANCHESTER ST STE 5A
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5101
Practice Address - Country:US
Practice Address - Phone:603-606-9357
Practice Address - Fax:603-217-2075
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH41510531835P0018X, 1835P1300X
NH3021183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist