Provider Demographics
NPI:1700662319
Name:CARON, LINDSEY M (PHARMD)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:M
Last Name:CARON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 HUSSON AVE APT 2L
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-3258
Mailing Address - Country:US
Mailing Address - Phone:207-233-8094
Mailing Address - Fax:
Practice Address - Street 1:653 BROADWAY
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-3341
Practice Address - Country:US
Practice Address - Phone:207-947-3680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR71695183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist