Provider Demographics
NPI:1023355740
Name:CARLTON, CLAUDIA DENISE (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:DENISE
Last Name:CARLTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15623 JERICHO DR
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:FL
Mailing Address - Zip Code:33556-3016
Mailing Address - Country:US
Mailing Address - Phone:813-814-1572
Mailing Address - Fax:
Practice Address - Street 1:15623 JERICHO DR
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:FL
Practice Address - Zip Code:33556-3016
Practice Address - Country:US
Practice Address - Phone:813-814-1572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 41935183500000X
NJ28RI03118800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist