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NPI Code Detail

MEDICARE: MRS. KAREN LYNN RADWANSKI RPH

MEDICARE: MRS. KAREN LYNN RADWANSKI RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist4151053NH
2183500000XPharmacist3021NH
31835P1300XPsychiatric Pharmacist4151053NH

General Provider Information

NPI Number : 1740495217
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAREN LYNN RADWANSKI RPH
Provider Business Mailing Address
First Line : 117 MANCHESTER ST STE 5A
Second Line :
City : CONCORD
State : NH
Zip : 03301-5101
Country : US
Telephone Number : 603-606-9357
Fax Number : 603-217-2075
Provider Business Practice Location Address
First Line : 117 MANCHESTER ST STE 5A
Second Line :
City : CONCORD
State : NH
Zip : 03301-5101
Country : US
Telephone Number : 603-606-9357
Fax Number : 603-217-2075
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2007
Last Update Date : 10/09/2025

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