Provider Demographics
NPI:1588933758
Name:CUTRIGHT, CAROLYN B (RPH)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:B
Last Name:CUTRIGHT
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 1:3520 ELLWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23221-2723
Mailing Address - Country:US
Mailing Address - Phone:804-342-8864
Mailing Address - Fax:804-342-8867
Practice Address - Street 1:3520 ELLWOOD AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23221-2723
Practice Address - Country:US
Practice Address - Phone:804-342-8864
Practice Address - Fax:804-342-8867
Is Sole Proprietor?:No
Enumeration Date:2011-12-18
Last Update Date:2011-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202009365183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist