Provider Demographics
NPI:1184026064
Name:DABBS, CANDICE CHARLES (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CANDICE
Middle Name:CHARLES
Last Name:DABBS
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 1:1485 LEVERETTE RD
Mailing Address - Street 2:APARTMENT 407
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-6487
Mailing Address - Country:US
Mailing Address - Phone:478-230-1065
Mailing Address - Fax:
Practice Address - Street 1:1485 LEVERETTE RD
Practice Address - Street 2:APARTMENT 407
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-6487
Practice Address - Country:US
Practice Address - Phone:478-230-1065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-22
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH0271891835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric