Healthcare Provider Details

I. General information

NPI: 1871805119
Provider Name (Legal Business Name): JAMES C CARAVOULIAS RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2010
Last Update Date: 07/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1080 S WEST END BLVD
QUAKERTOWN PA
18951-2634
US

IV. Provider business mailing address

1080 S WEST END BLVD
QUAKERTOWN PA
18951-2634
US

V. Phone/Fax

Practice location:
  • Phone: 215-529-4190
  • Fax: 215-529-4195
Mailing address:
  • Phone: 215-529-4190
  • Fax: 215-529-4195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRP028390L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: