Provider Demographics
NPI:1336526722
Name:ALFORD, CARMEN RENEE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:RENEE
Last Name:ALFORD
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 1:3326 W MERCURY BLVD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-3807
Mailing Address - Country:US
Mailing Address - Phone:757-826-5522
Mailing Address - Fax:757-826-1670
Practice Address - Street 1:3326 W MERCURY BLVD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-3807
Practice Address - Country:US
Practice Address - Phone:757-826-5522
Practice Address - Fax:757-826-1670
Is Sole Proprietor?:No
Enumeration Date:2015-05-05
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02022117221835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist