Provider Demographics
NPI:1881833119
Name:CARRICK, DEBRA L (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:L
Last Name:CARRICK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:DEBRA
Other - Middle Name:L
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2935 E RIGGS RD
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85249-3671
Mailing Address - Country:US
Mailing Address - Phone:480-802-1980
Mailing Address - Fax:480-802-1967
Practice Address - Street 1:2935 E RIGGS RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85249-3671
Practice Address - Country:US
Practice Address - Phone:480-802-1980
Practice Address - Fax:480-802-1967
Is Sole Proprietor?:No
Enumeration Date:2009-02-10
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS012694183500000X
CA53265183500000X
FLPS36354183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist