Provider Demographics
NPI:1881786929
Name:DUPLER, PAMELA LYNN (RPH)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:LYNN
Last Name:DUPLER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MS
Other - First Name:PAMELA
Other - Middle Name:LYNN
Other - Last Name:DEBUSK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:PO BOX 32861
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28232-2861
Mailing Address - Country:US
Mailing Address - Phone:704-512-7650
Mailing Address - Fax:
Practice Address - Street 1:4400 GOLF ACRES DR STE G
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-5923
Practice Address - Country:US
Practice Address - Phone:704-512-7650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14613183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist