Provider Demographics
NPI:1649507138
Name:CARIKER, TOMMY RAY (RPH)
Entity type:Individual
Prefix:MR
First Name:TOMMY
Middle Name:RAY
Last Name:CARIKER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5775 FM 423
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-8956
Mailing Address - Country:US
Mailing Address - Phone:214-469-1486
Mailing Address - Fax:214-469-1791
Practice Address - Street 1:5775 FM 423
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-8956
Practice Address - Country:US
Practice Address - Phone:214-469-1486
Practice Address - Fax:214-469-1791
Is Sole Proprietor?:No
Enumeration Date:2009-11-04
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27469183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist