Provider Demographics
NPI:1336589316
Name:TODD, CLAIRE MARIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:MARIE
Last Name:TODD
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 1:1235 PECAN AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-5037
Mailing Address - Country:US
Mailing Address - Phone:704-342-0584
Mailing Address - Fax:
Practice Address - Street 1:1235 PECAN AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-5037
Practice Address - Country:US
Practice Address - Phone:704-342-0584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-05
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23499183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist