Provider Demographics
NPI:1043600224
Name:WILMER, CARRIE LOUISE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:LOUISE
Last Name:WILMER
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 1:6108 E LIBERTY BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-2507
Mailing Address - Country:US
Mailing Address - Phone:412-983-1784
Mailing Address - Fax:412-661-4176
Practice Address - Street 1:1 UNIVERSITY DRIVE C.
Practice Address - Street 2:1N218
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15240-1003
Practice Address - Country:US
Practice Address - Phone:412-360-6119
Practice Address - Fax:412-360-6193
Is Sole Proprietor?:No
Enumeration Date:2015-01-27
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP449073183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No183500000XPharmacy Service ProvidersPharmacist