Individual
DR. KAITLIN R CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4357
Mailing address
837 COLCHESTER REEF RUN, SNEADS FERRY, NC 28460-1409
(320) 492-0050
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
2865M2000X
NC
183500000X
Pharmacist
Primary
2865M2000X
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30460
PHARMACIST LICENSE
NC
Enumeration date
07/01/2021
Last updated
02/24/2025
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