Provider Demographics
NPI:1497384499
Name:HERLING, CARLA ANN (RPH)
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:ANN
Last Name:HERLING
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1596 TURKEY TROT RD
Mailing Address - Street 2:
Mailing Address - City:JAMISON
Mailing Address - State:PA
Mailing Address - Zip Code:18929-1657
Mailing Address - Country:US
Mailing Address - Phone:609-234-2041
Mailing Address - Fax:
Practice Address - Street 1:1500 W MOYAMENSING AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19145-4925
Practice Address - Country:US
Practice Address - Phone:215-465-1475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-02
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP04393L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist