Provider Demographics
NPI:1366045163
Name:CASEY, CAROL N (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:N
Last Name:CASEY
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 1:2242 REPSDORPH RD
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:TX
Mailing Address - Zip Code:77586-6446
Mailing Address - Country:US
Mailing Address - Phone:281-474-4042
Mailing Address - Fax:
Practice Address - Street 1:2242 REPSDORPH RD
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:TX
Practice Address - Zip Code:77586-6446
Practice Address - Country:US
Practice Address - Phone:281-474-4042
Practice Address - Fax:281-291-7200
Is Sole Proprietor?:No
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX53882183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist