Provider Demographics
NPI:1104126655
Name:GARVEY, CAROLINE (PHARMD, BCGP)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:GARVEY
Suffix:
Gender:F
Credentials:PHARMD, BCGP
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:
Other - Last Name:SUCZYNSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, BCGP
Mailing Address - Street 1:5105 WATKINSDALE AVE
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-6070
Mailing Address - Country:US
Mailing Address - Phone:919-344-4684
Mailing Address - Fax:716-636-5620
Practice Address - Street 1:805 N WHITTINGTON PKWY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-7101
Practice Address - Country:US
Practice Address - Phone:919-757-6367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-01
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS608701835G0303X
PARP4494411835G0303X
NC249381835G0303X
SC424691835G0303X
TN444481835G0303X
NY054719183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835G0303XPharmacy Service ProvidersPharmacistGeriatric