Provider Demographics
NPI:1962700047
Name:CARDIN, NANCY EMBRY (RPH)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:EMBRY
Last Name:CARDIN
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 1:6950 BEAVER RUN RD
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31820-3714
Mailing Address - Country:US
Mailing Address - Phone:706-563-9967
Mailing Address - Fax:706-563-2789
Practice Address - Street 1:6950 BEAVER RUN RD
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:GA
Practice Address - Zip Code:31820-3714
Practice Address - Country:US
Practice Address - Phone:706-563-9967
Practice Address - Fax:706-563-2789
Is Sole Proprietor?:No
Enumeration Date:2011-03-14
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA11157183500000X
FL12387183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist