Provider Demographics
NPI:1356390850
Name:PLAUSKY, CAROLYN JEANNE
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:JEANNE
Last Name:PLAUSKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 OLD STAGE RD
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-4515
Mailing Address - Country:US
Mailing Address - Phone:978-250-9253
Mailing Address - Fax:
Practice Address - Street 1:EDITH NOURSE ROGER'S MEMORIAL VETERAN'S HOSPITAL
Practice Address - Street 2:200 SPRINGS ROAD (119)
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730-1198
Practice Address - Country:US
Practice Address - Phone:781-687-2780
Practice Address - Fax:781-687-2124
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA19874183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist