Provider Demographics
NPI:1043530652
Name:KOSTE, KARI L
Entity Type:Individual
Prefix:MRS
First Name:KARI
Middle Name:L
Last Name:KOSTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4004 ROUTE 130
Mailing Address - Street 2:
Mailing Address - City:DELRAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08075-2401
Mailing Address - Country:US
Mailing Address - Phone:856-544-9051
Mailing Address - Fax:856-544-9051
Practice Address - Street 1:228 STRAWBRIDGE DRIVE
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057
Practice Address - Country:US
Practice Address - Phone:888-974-2763
Practice Address - Fax:856-544-9051
Is Sole Proprietor?:No
Enumeration Date:2010-06-04
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02100800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist