Provider Demographics
NPI:1346587300
Name:PAARLBERG, CAITLIN LAUCKA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:LAUCKA
Last Name:PAARLBERG
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 1:2360 FOXFIELD LN
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-4740
Mailing Address - Country:US
Mailing Address - Phone:727-480-1186
Mailing Address - Fax:
Practice Address - Street 1:2360 FOXFIELD LN
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-4740
Practice Address - Country:US
Practice Address - Phone:727-480-1186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-10
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202213976183500000X
FLPS49579183500000X
GARPH026394183500000X
NV17369183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist