Provider Demographics
NPI:1851713408
Name:KANODE, GABRIELA (PHARM D)
Entity Type:Individual
Prefix:
First Name:GABRIELA
Middle Name:
Last Name:KANODE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:MRS
Other - First Name:GABRIELA
Other - Middle Name:
Other - Last Name:KANODE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:4410 ALLIBROOK WAY
Mailing Address - Street 2:
Mailing Address - City:WINGATE
Mailing Address - State:NC
Mailing Address - Zip Code:28174-6783
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4410 ALLIBROOK WAY
Practice Address - Street 2:
Practice Address - City:WINGATE
Practice Address - State:NC
Practice Address - Zip Code:28174-6783
Practice Address - Country:US
Practice Address - Phone:980-333-5517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-16
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23906183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist