Provider Demographics
NPI:1134671076
Name:NARDUCCI, CAROL WELBORN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:WELBORN
Last Name:NARDUCCI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3650 GALLERIA CIR
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-2346
Mailing Address - Country:US
Mailing Address - Phone:205-909-1041
Mailing Address - Fax:205-909-1059
Practice Address - Street 1:3650 GALLERIA CIR
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-2346
Practice Address - Country:US
Practice Address - Phone:205-909-1041
Practice Address - Fax:205-909-1059
Is Sole Proprietor?:No
Enumeration Date:2016-10-26
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12321183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist