Provider Demographics
NPI:1962545202
Name:NADWORNY, CAROLYN ANNE (BS RPH)
Entity type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:ANNE
Last Name:NADWORNY
Suffix:
Gender:F
Credentials:BS RPH
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:28 HUNTERS RD
Mailing Address - Street 2:
Mailing Address - City:BOXFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01921-1800
Mailing Address - Country:US
Mailing Address - Phone:978-887-0024
Mailing Address - Fax:978-887-0676
Practice Address - Street 1:11 BATCHELDER RD
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:NH
Practice Address - Zip Code:03874-4402
Practice Address - Country:US
Practice Address - Phone:603-474-9827
Practice Address - Fax:603-474-9582
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NHR1879183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist