Provider Demographics
NPI:1871935171
Name:WOELFEL, CARL (PHARMD)
Entity type:Individual
Prefix:
First Name:CARL
Middle Name:
Last Name:WOELFEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14000 WORTH AVE
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-4121
Mailing Address - Country:US
Mailing Address - Phone:703-497-2690
Mailing Address - Fax:703-497-2088
Practice Address - Street 1:14000 WORTH AVE
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-4121
Practice Address - Country:US
Practice Address - Phone:703-497-2690
Practice Address - Fax:703-497-2088
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-27
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202212324183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist