Provider Demographics
NPI:1376975573
Name:DODDS, CARLY CHRISTINE (PHARM D)
Entity Type:Individual
Prefix:
First Name:CARLY
Middle Name:CHRISTINE
Last Name:DODDS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:CARLY
Other - Middle Name:CHRISTINE
Other - Last Name:SCHMITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:142 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-1912
Mailing Address - Country:US
Mailing Address - Phone:770-752-9011
Mailing Address - Fax:
Practice Address - Street 1:142 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-1912
Practice Address - Country:US
Practice Address - Phone:770-752-9011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-30
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH026731183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist