Provider Demographics
NPI:1619359973
Name:DUXBURYSMITH, CAROLINE (RPH)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:DUXBURYSMITH
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 1:1018 CASITAS PASS RD
Mailing Address - Street 2:
Mailing Address - City:CARPINTERIA
Mailing Address - State:CA
Mailing Address - Zip Code:93013-2109
Mailing Address - Country:US
Mailing Address - Phone:805-684-8367
Mailing Address - Fax:805-684-8848
Practice Address - Street 1:1018 CASITAS PASS RD
Practice Address - Street 2:
Practice Address - City:CARPINTERIA
Practice Address - State:CA
Practice Address - Zip Code:93013-2109
Practice Address - Country:US
Practice Address - Phone:805-684-8367
Practice Address - Fax:805-684-8848
Is Sole Proprietor?:No
Enumeration Date:2015-06-23
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43276183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist