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NPI Code Detail

MEDICARE: CAROLYN LATHROPE PHARMD

MEDICARE: CAROLYN LATHROPE PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPST.022430LA

General Provider Information

NPI Number : 1881182947
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLYN LATHROPE PHARMD
Provider Business Mailing Address
First Line : 2626 RIDGEBROOK PL
Second Line :
City : THOUSAND OAKS
State : CA
Zip : 91362-4682
Country : US
Telephone Number : 805-341-3881
Fax Number :
Provider Business Practice Location Address
First Line : 1415 SAINT CHARLES ST
Second Line :
City : HOUMA
State : LA
Zip : 70360-3964
Country : US
Telephone Number : 985-868-4033
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2018
Last Update Date : 04/24/2018

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Directions to “ CAROLYN LATHROPE PHARMD” Practice Location

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