Provider Demographics
NPI:1093354284
Name:CARMAN, PAIGE PATTERSON (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:PAIGE
Middle Name:PATTERSON
Last Name:CARMAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9725 FLAT ROCK RD
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72120-8900
Mailing Address - Country:US
Mailing Address - Phone:501-590-3150
Mailing Address - Fax:501-835-6531
Practice Address - Street 1:2509 MCCAIN BLVD
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72116-7606
Practice Address - Country:US
Practice Address - Phone:501-758-9307
Practice Address - Fax:501-758-9308
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-06
Last Update Date:2020-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD09758183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist