Provider Demographics
NPI:1356635536
Name:DIFRANCO, CARL F SR (RPH)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:F
Last Name:DIFRANCO
Suffix:SR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 GERTRUDE RD
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03087-1136
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:165 N STATE ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5015
Practice Address - Country:US
Practice Address - Phone:603-223-6713
Practice Address - Fax:603-225-8017
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-05
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHR1417183500000X
MAPH18172183500000X
MEPR5017183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist