Provider Demographics
NPI:1386968014
Name:DOBBS, CAROLYN (RPH)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:DOBBS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 PRIMROSE CT
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:KY
Mailing Address - Zip Code:42633-7501
Mailing Address - Country:US
Mailing Address - Phone:606-340-9729
Mailing Address - Fax:606-348-1708
Practice Address - Street 1:1 S CREEK DR STE 122
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:KY
Practice Address - Zip Code:42633-9472
Practice Address - Country:US
Practice Address - Phone:606-348-1800
Practice Address - Fax:606-348-1708
Is Sole Proprietor?:No
Enumeration Date:2010-03-24
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY010950183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist