Provider Demographics
NPI:1053754119
Name:WILLIAMS, KAREN
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:17031 LINCOLN AVE
Mailing Address - Street 2:17031 LINCOLN AVENUE
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-3161
Mailing Address - Country:US
Mailing Address - Phone:720-851-7765
Mailing Address - Fax:720-851-7767
Practice Address - Street 1:17031 LINCOLN AVE
Practice Address - Street 2:17031 LINCOLN AVENUE
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-3161
Practice Address - Country:US
Practice Address - Phone:720-851-7765
Practice Address - Fax:720-851-7767
Is Sole Proprietor?:No
Enumeration Date:2013-04-09
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12231183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist