Provider Demographics
NPI:1376760785
Name:NEELY, CAROL ANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:ANN
Last Name:NEELY
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 1:5151 EDLOE ST
Mailing Address - Street 2:APT # 10201
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-1102
Mailing Address - Country:US
Mailing Address - Phone:713-667-6795
Mailing Address - Fax:
Practice Address - Street 1:5151 EDLOE ST
Practice Address - Street 2:APT # 10201
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-1102
Practice Address - Country:US
Practice Address - Phone:713-667-6795
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX316501835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy