Provider Demographics
NPI:1720675358
Name:NEWTON, CARRIE FU (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:FU
Last Name:NEWTON
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 1:5370 W 16TH ST
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-1734
Mailing Address - Country:US
Mailing Address - Phone:954-544-0542
Mailing Address - Fax:
Practice Address - Street 1:5370 W 16TH ST
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-1734
Practice Address - Country:US
Practice Address - Phone:952-544-0542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN118998183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist