Provider Demographics
NPI:1467764878
Name:GRIFFITHS, CARRIE L (PHARMD)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:L
Last Name:GRIFFITHS
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 1:6005 PINE CONE LN
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-6343
Mailing Address - Country:US
Mailing Address - Phone:704-604-2135
Mailing Address - Fax:
Practice Address - Street 1:13720 INDEPENDENCE BLVD
Practice Address - Street 2:
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079-7600
Practice Address - Country:US
Practice Address - Phone:704-604-2135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-14
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48954183500000X
NC21009183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist