Provider Demographics
NPI:1386993707
Name:BAILEY, CARLA MARIE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:CARLA
Middle Name:MARIE
Last Name:BAILEY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 GIHON VILLAGE
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101
Mailing Address - Country:US
Mailing Address - Phone:304-485-4501
Mailing Address - Fax:304-485-4504
Practice Address - Street 1:110 GIHON VLG
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-7109
Practice Address - Country:US
Practice Address - Phone:304-485-4501
Practice Address - Fax:304-485-4504
Is Sole Proprietor?:No
Enumeration Date:2012-08-30
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0007945183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist