Provider Demographics
NPI:1225329725
Name:MOBLEY, CAROL (RPH)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:
Last Name:MOBLEY
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 1:1751 5TH ST NE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-1536
Mailing Address - Country:US
Mailing Address - Phone:828-267-5968
Mailing Address - Fax:
Practice Address - Street 1:3369 HICKORY BLVD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NC
Practice Address - Zip Code:28638-9024
Practice Address - Country:US
Practice Address - Phone:828-396-4256
Practice Address - Fax:828-396-4927
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12647183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist