Provider Demographics
NPI:1568921492
Name:CARACE, VINCENT M (RPH)
Entity Type:Individual
Prefix:
First Name:VINCENT
Middle Name:M
Last Name:CARACE
Suffix:
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 1:49 JAMES DR
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NH
Mailing Address - Zip Code:03841-2196
Mailing Address - Country:US
Mailing Address - Phone:603-223-3141
Mailing Address - Fax:
Practice Address - Street 1:1 GRANITE PL
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-3271
Practice Address - Country:US
Practice Address - Phone:603-226-8686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-19
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH24161835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH2416OtherPHARMACIST