Provider Demographics
NPI:1073842597
Name:CARTRETTE, MACELYNN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MACELYNN
Middle Name:
Last Name:CARTRETTE
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 1:803 N JK POWELL BLVD
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-2122
Mailing Address - Country:US
Mailing Address - Phone:910-640-0900
Mailing Address - Fax:
Practice Address - Street 1:803 N JK POWELL BLVD
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-2122
Practice Address - Country:US
Practice Address - Phone:910-640-0900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-11
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20479183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist