Provider Demographics
NPI:1356032361
Name:FRYE, KAREN (PHARMD, BCACP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:FRYE
Suffix:
Gender:F
Credentials:PHARMD, BCACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 MCDONALD AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-5319
Mailing Address - Country:US
Mailing Address - Phone:704-576-8646
Mailing Address - Fax:
Practice Address - Street 1:405 MCDONALD AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5319
Practice Address - Country:US
Practice Address - Phone:704-576-8646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-19
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC109341835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care