Provider Demographics
NPI:1922358951
Name:CARMICHAEL, VIBHUTI CONTRACTOR (RPH)
Entity Type:Individual
Prefix:
First Name:VIBHUTI
Middle Name:CONTRACTOR
Last Name:CARMICHAEL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2373 AUGUSTA HWY
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-2213
Mailing Address - Country:US
Mailing Address - Phone:803-951-0786
Mailing Address - Fax:803-951-0693
Practice Address - Street 1:2373 AUGUSTA HIGHWAY
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072
Practice Address - Country:US
Practice Address - Phone:803-951-0786
Practice Address - Fax:803-951-0693
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7461183500000X
NC29061183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist