Provider Demographics
NPI:1417027764
Name:MARLOW, CAROL KING (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:KING
Last Name:MARLOW
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MISS
Other - First Name:CAROL
Other - Middle Name:LYNN
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3349 INDEPENDENCE DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-8310
Mailing Address - Country:US
Mailing Address - Phone:205-870-3150
Mailing Address - Fax:205-870-3160
Practice Address - Street 1:3349 INDEPENDENCE DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-8310
Practice Address - Country:US
Practice Address - Phone:205-870-3150
Practice Address - Fax:205-870-3160
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11331183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist