Individual
MRS. IRIS CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
311 MINUTEMAN DR, COLLEGEVILLE, PA 19426-3493
(610) 666-1498
Mailing address
311 MINUTEMAN DR, COLLEGEVILLE, PA 19426-3493
(610) 666-1498
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP034539R
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP034539R
STATE BOARD OF PHARMACY
PA
01
—
RP1004178
STATE BOARD OF PHARMACY
PA
Enumeration date
10/04/2011
Last updated
10/04/2011
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