Provider Demographics
NPI:1972107126
Name:CAULI, PHILIP FLOYD CARPIO (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:PHILIP FLOYD
Middle Name:CARPIO
Last Name:CAULI
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1940 PULTAR RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-1473
Mailing Address - Country:US
Mailing Address - Phone:832-768-2849
Mailing Address - Fax:
Practice Address - Street 1:117 OYSTER CREEK DR
Practice Address - Street 2:
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-4157
Practice Address - Country:US
Practice Address - Phone:979-297-3254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-29
Last Update Date:2020-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX673771835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist