Individual
EDYTHE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10614 PROVIDENCE RD, CHARLOTTE, NC 28277-0233
(704) 841-7538
(704) 841-7542
Mailing address
8600 BEE TREE CIR, CHARLOTTE, NC 28270-0677
(704) 321-0026
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16728
NC
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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