Individual
MRS. CHERYL D LICAUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
123 NASHUA RD, LONDONDERRY, NH 03053
(603) 437-8100
(603) 437-1957
Mailing address
39 LONGVIEW CIRCLE, PELHAM, NH 03076
(603) 635-9598
(603) 437-1957
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
R1844
NH
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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