Provider Demographics
NPI:1598392243
Name:THARP, CARI (RPH)
Entity Type:Individual
Prefix:
First Name:CARI
Middle Name:
Last Name:THARP
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 1:2395 NW ARTERIAL
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52002-0496
Mailing Address - Country:US
Mailing Address - Phone:563-582-3436
Mailing Address - Fax:563-583-3282
Practice Address - Street 1:2395 NW ARTERIAL
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52002-0496
Practice Address - Country:US
Practice Address - Phone:563-582-3436
Practice Address - Fax:563-583-3282
Is Sole Proprietor?:No
Enumeration Date:2020-03-24
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA18062183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist