Provider Demographics
NPI:1053661363
Name:STAHL, KARI LYNNE (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:KARI
Middle Name:LYNNE
Last Name:STAHL
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7101 TONNELLE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047-4507
Mailing Address - Country:US
Mailing Address - Phone:201-520-1702
Mailing Address - Fax:
Practice Address - Street 1:7101 TONNELLE AVE
Practice Address - Street 2:
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-4507
Practice Address - Country:US
Practice Address - Phone:201-520-1702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-13
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03513400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist