Individual
DANTE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
801 PENNSYLVANIA AVE SE, WASHINGTON, DC 20003-2167
(202) 524-8137
Mailing address
801 PENNSYLVANIA AVE SE, WASHINGTON, DC 20003-2167
(202) 524-8137
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH100003062
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH100003062
PHARMACIST LICENSE
DC
Enumeration date
07/09/2020
Last updated
07/09/2020
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