Provider Demographics
NPI:1366766693
Name:HARDY, CARLA ROSALIND (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CARLA
Middle Name:ROSALIND
Last Name:HARDY
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 1:2800 STONE CLIFF DR UNIT 301
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-3843
Mailing Address - Country:US
Mailing Address - Phone:410-870-3822
Mailing Address - Fax:
Practice Address - Street 1:5760 WABASH AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-3203
Practice Address - Country:US
Practice Address - Phone:410-358-5822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18212183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist