Healthcare Provider Details

I. General information

NPI: 1316942477
Provider Name (Legal Business Name): CARL K LABBE RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 E. UNIVERSITY DR. ARIZONA STATE UNIVERSITY
TEMPE AZ
85287-2104
US

IV. Provider business mailing address

2323 W NIDO AVE
MESA AZ
85202-7341
US

V. Phone/Fax

Practice location:
  • Phone: 480-965-3338
  • Fax: 480-965-4416
Mailing address:
  • Phone: 480-839-3159
  • Fax: 480-965-4416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number6340
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number6340
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: