Provider Demographics
NPI:1033405287
Name:CHOU-RYBICKI, CAROLINE S
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:S
Last Name:CHOU-RYBICKI
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 1:19511 I-45 NORTH
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388
Mailing Address - Country:US
Mailing Address - Phone:281-288-5018
Mailing Address - Fax:281-288-5018
Practice Address - Street 1:19511 I-45 NORTH
Practice Address - Street 2:TARGET PHARMACY
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-6015
Practice Address - Country:US
Practice Address - Phone:281-288-5018
Practice Address - Fax:281-288-5018
Is Sole Proprietor?:No
Enumeration Date:2011-06-27
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29139183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist