Provider Demographics
NPI:1679860373
Name:SPAULDING, DENICE (RPH)
Entity Type:Individual
Prefix:
First Name:DENICE
Middle Name:
Last Name:SPAULDING
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 1:220 S RIVER RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6819
Mailing Address - Country:US
Mailing Address - Phone:603-263-0062
Mailing Address - Fax:
Practice Address - Street 1:220 S RIVER RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6819
Practice Address - Country:US
Practice Address - Phone:603-263-0062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-01
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3127183500000X
MAPH23828183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist