Provider Demographics
NPI:1629391917
Name:CHAMBERS, CAROLYN BETH (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:BETH
Last Name:CHAMBERS
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 1:203 COTTONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:KS
Mailing Address - Zip Code:66043-6256
Mailing Address - Country:US
Mailing Address - Phone:518-469-8946
Mailing Address - Fax:
Practice Address - Street 1:3315 GUTHRIE HWY
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-5507
Practice Address - Country:US
Practice Address - Phone:931-552-8757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-01
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049195183500000X
TN34129183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist