MEDICARE: DR. KARL A ODELL PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	24962	NC

General Provider Information

NPI Number	:	1699431619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARL A ODELL PHARMD

Provider Business Mailing Address
First Line	:	7265 SEASHELL LN SW UNIT 301
Second Line	:
City	:	OCEAN ISLE BEACH
State	:	NC
Zip	:	28469-4204
Country	:	US
Telephone Number	:	606-831-7012
Fax Number	:

Provider Business Practice Location Address
First Line	:	7265 SEASHELL LN SW UNIT 301
Second Line	:
City	:	OCEAN ISLE BEACH
State	:	NC
Zip	:	28469-4204
Country	:	US
Telephone Number	:	606-831-7012
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2021
Last Update Date	:	11/14/2021

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