Provider Demographics
NPI:1497042923
Name:EVERETT, HELEN CAROL (PHARM D)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:CAROL
Last Name:EVERETT
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7409 W VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85035-1336
Mailing Address - Country:US
Mailing Address - Phone:623-245-3033
Mailing Address - Fax:623-245-3033
Practice Address - Street 1:7409 W VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85035-1336
Practice Address - Country:US
Practice Address - Phone:623-245-3033
Practice Address - Fax:623-245-3033
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-05
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS0149147183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist