Provider Demographics
NPI:1316942477
Name:LABBE, CARL K (RPH)
Entity type:Individual
Prefix:MR
First Name:CARL
Middle Name:K
Last Name:LABBE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 W NIDO AVE
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-7341
Mailing Address - Country:US
Mailing Address - Phone:480-839-3159
Mailing Address - Fax:480-965-4416
Practice Address - Street 1:451 E. UNIVERSITY DR.
Practice Address - Street 2:ARIZONA STATE UNIVERSITY
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85287-2104
Practice Address - Country:US
Practice Address - Phone:480-965-3338
Practice Address - Fax:480-965-4416
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ6340183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy