Provider Demographics
NPI:1831373679
Name:TABE, CAROLINE ELAD (PHARM D)
Entity type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:ELAD
Last Name:TABE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:5412 MEADOW VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76123-2841
Mailing Address - Country:US
Mailing Address - Phone:817-370-1703
Mailing Address - Fax:817-370-1703
Practice Address - Street 1:5412 MEADOW VALLEY DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76123-2841
Practice Address - Country:US
Practice Address - Phone:817-370-1703
Practice Address - Fax:817-370-1703
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX406131835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy