Provider Demographics
NPI:1699533661
Name:CARMICHAEL, ROBERT J (PHARMD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:J
Last Name:CARMICHAEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2210 CHATHAM AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-3633
Mailing Address - Country:US
Mailing Address - Phone:865-742-6326
Mailing Address - Fax:
Practice Address - Street 1:610 S CALDWELL ST UNIT 101
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28202-3394
Practice Address - Country:US
Practice Address - Phone:980-771-6069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC32284183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist