Provider Demographics
NPI:1023136629
Name:SWEET, CARRIE ALAN (RPH)
Entity type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:ALAN
Last Name:SWEET
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 1:108 COLONIAL CT
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37663-2986
Mailing Address - Country:US
Mailing Address - Phone:423-239-0466
Mailing Address - Fax:
Practice Address - Street 1:1880 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37664-5190
Practice Address - Country:US
Practice Address - Phone:423-378-7311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8734183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist