Provider Demographics
NPI:1710276670
Name:DOLPH, KARIN GISELA (PHARM D)
Entity Type:Individual
Prefix:MS
First Name:KARIN
Middle Name:GISELA
Last Name:DOLPH
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9371 HOLT RD
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:CA
Mailing Address - Zip Code:93923-8582
Mailing Address - Country:US
Mailing Address - Phone:831-250-7821
Mailing Address - Fax:
Practice Address - Street 1:104 MID VALLEY CTR
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:CA
Practice Address - Zip Code:93923-8500
Practice Address - Country:US
Practice Address - Phone:831-625-8820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-31
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 38134183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist