Provider Demographics
NPI:1992935977
Name:BURNETT, CARIN ELIZABETH (RPH)
Entity type:Individual
Prefix:
First Name:CARIN
Middle Name:ELIZABETH
Last Name:BURNETT
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 1:3 HUDSON AVE.
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04443-3207
Mailing Address - Country:US
Mailing Address - Phone:207-876-2788
Mailing Address - Fax:
Practice Address - Street 1:3 HUDSON AVE.
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:ME
Practice Address - Zip Code:04443
Practice Address - Country:US
Practice Address - Phone:207-876-2788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-23
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR4856183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist