Healthcare Provider Details

I. General information

NPI: 1427974070
Provider Name (Legal Business Name): DEMI MICHELE CARTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2026
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3325 ROBINHOOD RD
WINSTON SALEM NC
27106-5403
US

IV. Provider business mailing address

3325 ROBINHOOD RD
WINSTON SALEM NC
27106-5403
US

V. Phone/Fax

Practice location:
  • Phone: 336-765-3561
  • Fax:
Mailing address:
  • Phone: 336-765-3561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number34696
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: