Healthcare Provider Details

I. General information

NPI: 1467146787
Provider Name (Legal Business Name): CAROLINA TRINH PHAM TOBBEN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAROLINA TRINH PHAM

II. Dates (important events)

Enumeration Date: 06/08/2023
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 LEE STREET BOX #800334
CHARLOTTESVILLE VA
22908-0001
US

IV. Provider business mailing address

1215 LEE STREET BOX 800334
CHARLOTTESVILLE VA
22908-0001
US

V. Phone/Fax

Practice location:
  • Phone: 434-924-9333
  • Fax: 434-244-7526
Mailing address:
  • Phone: 434-924-9333
  • Fax: 434-244-7526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: