Provider Demographics
NPI:1902022486
Name:CARTER, DANNY RAY (RPH)
Entity Type:Individual
Prefix:MR
First Name:DANNY
Middle Name:RAY
Last Name:CARTER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:DANA
Other - Middle Name:RAY
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:4727 HAWKSBURY RD
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-2129
Mailing Address - Country:US
Mailing Address - Phone:410-922-2573
Mailing Address - Fax:410-521-6798
Practice Address - Street 1:4727 HAWKSBURY RD
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-2129
Practice Address - Country:US
Practice Address - Phone:410-922-2573
Practice Address - Fax:410-521-6798
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2012-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD127661835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0202206942OtherPHARMACY LICENSE
DCPH100000614OtherPHARMACY LICENSE
MD12766OtherPHARMACY LICENSE