Provider Demographics
NPI:1891528824
Name:BELL, CARLY CHRISTINE (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:CARLY
Middle Name:CHRISTINE
Last Name:BELL
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 REDFIELD PKWY APT 125
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-6531
Mailing Address - Country:US
Mailing Address - Phone:805-340-5552
Mailing Address - Fax:
Practice Address - Street 1:800 REDFIELD PKWY APT 125
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-6531
Practice Address - Country:US
Practice Address - Phone:805-340-5552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302416681183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist