Provider Demographics
NPI:1780961912
Name:CAFFREY, RICHARD E (RPH)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:E
Last Name:CAFFREY
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 1:17 ACADEMY LN
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540-2800
Mailing Address - Country:US
Mailing Address - Phone:508-564-4459
Mailing Address - Fax:508-564-6172
Practice Address - Street 1:17 ACADEMY LN
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-2800
Practice Address - Country:US
Practice Address - Phone:508-564-4459
Practice Address - Fax:508-564-6172
Is Sole Proprietor?:No
Enumeration Date:2011-11-16
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA17037183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist