Provider Demographics
NPI:1033633839
Name:STEGAL, KAREN ROSS (PHARMD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ROSS
Last Name:STEGAL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16407 MCKEE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28278-8460
Mailing Address - Country:US
Mailing Address - Phone:704-497-1188
Mailing Address - Fax:
Practice Address - Street 1:4100 CARMEL RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-6150
Practice Address - Country:US
Practice Address - Phone:704-542-9210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-02
Last Update Date:2020-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27256183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist