Provider Demographics
NPI:1225479504
Name:DENNIS, CAROLINE C (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:C
Last Name:DENNIS
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 1:506 MCCULLOUGH AVE NE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-6339
Mailing Address - Country:US
Mailing Address - Phone:912-996-3508
Mailing Address - Fax:
Practice Address - Street 1:506 MCCULLOUGH AVE NE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6339
Practice Address - Country:US
Practice Address - Phone:912-996-3508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-15
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17296183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist