Basic Information
| Provider Information | |||||||||
| NPI: | 1447341938 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CARTER | ||||||||
| FirstName: | IAN | ||||||||
| MiddleName: | |||||||||
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| Credential: | RPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3977 DARCY CT | ||||||||
| Address2: | |||||||||
| City: | BELLINGHAM | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982267870 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3606471611 | ||||||||
| FaxNumber: | 3606472316 | ||||||||
| Practice Location | |||||||||
| Address1: | 4420 MERIDIAN ST | ||||||||
| Address2: | |||||||||
| City: | BELLINGHAM | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982268087 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3606471611 | ||||||||
| FaxNumber: | 3606472316 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/27/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | PH00042598 | WA | Y | Pharmacy Service Providers | Pharmacist | 183500000X | 14683 | AZ | N | Pharmacy Service Providers | Pharmacist | 183500000X | 16686 | NV | N | Pharmacy Service Providers | Pharmacist |
No ID Information.