Provider Demographics
NPI:1083628242
Name:CLAUSING, KAREN L (RPH)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:L
Last Name:CLAUSING
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:MATTOON
Mailing Address - State:IL
Mailing Address - Zip Code:61938-9363
Mailing Address - Country:US
Mailing Address - Phone:217-234-8886
Mailing Address - Fax:
Practice Address - Street 1:1221 CHARLESTON AVE
Practice Address - Street 2:
Practice Address - City:MATTOON
Practice Address - State:IL
Practice Address - Zip Code:61938-4130
Practice Address - Country:US
Practice Address - Phone:214-234-8881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist