Healthcare Provider Details

I. General information

NPI: 1063482313
Provider Name (Legal Business Name): CAROL WHITE LABADIE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 GEORGIA AVE NW
WASHINGTON DC
20307-0003
US

IV. Provider business mailing address

6495 MILVA LN
SPRINGFIELD VA
22150-4272
US

V. Phone/Fax

Practice location:
  • Phone: 202-782-6072
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number7604
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: