Provider Demographics
NPI:1861142077
Name:MCCARTHY HOEGEN, MARY PATRICIA (CPHT)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:PATRICIA
Last Name:MCCARTHY HOEGEN
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72A CHENEY LN
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:NH
Mailing Address - Zip Code:03819-3301
Mailing Address - Country:US
Mailing Address - Phone:603-303-0498
Mailing Address - Fax:
Practice Address - Street 1:72A CHENEY LN
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:NH
Practice Address - Zip Code:03819-3301
Practice Address - Country:US
Practice Address - Phone:603-303-0498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHPHT-127434183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician