Provider Demographics
NPI:1780162990
Name:HOLMES, CAROL LOWE (RPH)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:LOWE
Last Name:HOLMES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2479 S. CHURCH STREET
Mailing Address - Street 2:ADDRESS LINE 2
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215
Mailing Address - Country:US
Mailing Address - Phone:336-570-2273
Mailing Address - Fax:336-350-8534
Practice Address - Street 1:2479 SOUTH CHURCH STREET
Practice Address - Street 2:ADDRESS LINE 2
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-2721
Practice Address - Country:US
Practice Address - Phone:336-570-2273
Practice Address - Fax:336-350-8534
Is Sole Proprietor?:No
Enumeration Date:2018-07-31
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC124381835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist