Provider Demographics
NPI:1922356401
Name:DAWSON, CARL FRANCIS (RPH)
Entity Type:Individual
Prefix:
First Name:CARL
Middle Name:FRANCIS
Last Name:DAWSON
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5661 BULLARD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70128-3447
Mailing Address - Country:US
Mailing Address - Phone:504-330-1363
Mailing Address - Fax:504-241-3470
Practice Address - Street 1:5661 BULLARD AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70128-3447
Practice Address - Country:US
Practice Address - Phone:504-330-1363
Practice Address - Fax:504-241-3470
Is Sole Proprietor?:No
Enumeration Date:2012-08-15
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA15968183500000X
FL29015183500000X
AZ15454183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist