Provider Demographics
NPI:1689684425
Name:CARNES, PAUL A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:A
Last Name:CARNES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 PHEASANT RUN RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17057-5972
Mailing Address - Country:US
Mailing Address - Phone:717-304-7342
Mailing Address - Fax:717-228-6163
Practice Address - Street 1:1700 S LINCOLN AVE
Practice Address - Street 2:PHARMACY (719)
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-7529
Practice Address - Country:US
Practice Address - Phone:717-228-6011
Practice Address - Fax:717-228-6163
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP039821L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist