Provider Demographics
NPI:1780686972
Name:MCFADDEN, CAROLINE S (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:S
Last Name:MCFADDEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1844 NORTH LAVA FLOW DR
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770
Mailing Address - Country:US
Mailing Address - Phone:435-652-8520
Mailing Address - Fax:435-674-0092
Practice Address - Street 1:1067 E TABERNACLE ST
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3163
Practice Address - Country:US
Practice Address - Phone:435-634-7608
Practice Address - Fax:435-674-0092
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT309409-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist