MEDICARE: MARKIA L CARSON PHARM D

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
1	183500000X	Pharmacist	19970	AL

General Provider Information

NPI Number	:	1972116911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARKIA L CARSON PHARM D

Provider Business Mailing Address
First Line	:	5306 WILSON WAY
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35235-4400
Country	:	US
Telephone Number	:	205-706-1117
Fax Number	:

Provider Business Practice Location Address
First Line	:	3892 ATLANTA HWY
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36109-3626
Country	:	US
Telephone Number	:	334-270-0757
Fax Number	:	334-270-9046

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2020
Last Update Date	:	08/28/2020

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Directions to “ MARKIA L CARSON PHARM D” Practice Location

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