Provider Demographics
NPI:1194551259
Name:PAXTON, CAROLYN ANNETTE (PHARMD)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:ANNETTE
Last Name:PAXTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2816 ERWIN RD STE 105
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-4589
Mailing Address - Country:US
Mailing Address - Phone:919-282-5553
Mailing Address - Fax:919-864-4900
Practice Address - Street 1:2816 ERWIN RD STE 105
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4589
Practice Address - Country:US
Practice Address - Phone:919-282-5553
Practice Address - Fax:919-864-4900
Is Sole Proprietor?:No
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33413183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist