Provider Demographics
NPI:1518647973
Name:CARRIER, CONNOR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CONNOR
Middle Name:
Last Name:CARRIER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 W AUTUMNWOOD LN
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70605-5302
Mailing Address - Country:US
Mailing Address - Phone:337-660-4081
Mailing Address - Fax:
Practice Address - Street 1:114 GLORIA DR
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70611-5043
Practice Address - Country:US
Practice Address - Phone:337-405-7880
Practice Address - Fax:337-405-7886
Is Sole Proprietor?:No
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.023716183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist