Doctor Name: | CAROLYN LIEB |
NPI Number: | 1710210455 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPHT |
License Number: | 450101080956121 |
Business Practice Address: | 12000 Stone Lake Rd Dulce, NM - 875280187 |
Business Phone Number: | 5757593291 |
Business Fax Number: | 5757597288 |
Mailing Address: | 12000 Stone Lake Rd, Po Box 187 DULCE |
State: | NM |
Postal Code: | 875280187 |
Phone Number: | 5757593291 |
Fax Number: | 5757597288 |
NPI Enumeration Date: | 09/14/2009 |
NPI Last Update Date: | 09/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | 450101080956121 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |