Provider Demographics
NPI:1609117381
Name:GARRAND, CAROL MARIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:MARIE
Last Name:GARRAND
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:CAROL
Other - Middle Name:MARIE
Other - Last Name:FORTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1000 NW 44TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660-1618
Mailing Address - Country:US
Mailing Address - Phone:503-307-6185
Mailing Address - Fax:
Practice Address - Street 1:1201 SE TECH CENTER DR
Practice Address - Street 2:SUITE 170
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-5512
Practice Address - Country:US
Practice Address - Phone:360-260-7156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-06
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00065772183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist