Provider Demographics
NPI:1770274011
Name:CARTER, SAVANAH PAIGE (PHARM D)
Entity type:Individual
Prefix:
First Name:SAVANAH
Middle Name:PAIGE
Last Name:CARTER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 SURGERES PL
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-3030
Mailing Address - Country:US
Mailing Address - Phone:228-218-3518
Mailing Address - Fax:
Practice Address - Street 1:19670 GREENO RD
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-3840
Practice Address - Country:US
Practice Address - Phone:251-929-9959
Practice Address - Fax:215-929-9958
Is Sole Proprietor?:No
Enumeration Date:2023-05-17
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL22734183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist