Provider Demographics
NPI:1073697900
Name:CLIFFORD, MARGARET ANN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:ANN
Last Name:CLIFFORD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MISS
Other - First Name:MARGARET
Other - Middle Name:ANN
Other - Last Name:BOISVERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:PO BOX 294
Mailing Address - Street 2:
Mailing Address - City:STRAFFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03884-0294
Mailing Address - Country:US
Mailing Address - Phone:603-942-5195
Mailing Address - Fax:
Practice Address - Street 1:57 REGIONAL DR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-8518
Practice Address - Country:US
Practice Address - Phone:603-271-2350
Practice Address - Fax:603-271-2856
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2636183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist