Provider Demographics
NPI:1568725414
Name:CARP, ELIZABETH J (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:J
Last Name:CARP
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9301 NW 33RD ST
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-1202
Mailing Address - Country:US
Mailing Address - Phone:305-437-1749
Mailing Address - Fax:305-437-1149
Practice Address - Street 1:9301 NW 33RD ST
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-1202
Practice Address - Country:US
Practice Address - Phone:305-437-1749
Practice Address - Fax:305-437-1149
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP439429183500000X
FLPS60871183500000X
CARPH59460183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist