Provider Demographics
NPI:1083803209
Name:HALVORSEN, KAREN D (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:D
Last Name:HALVORSEN
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 1:2041 HAWAII AVE NE
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33703-3419
Mailing Address - Country:US
Mailing Address - Phone:727-525-3777
Mailing Address - Fax:
Practice Address - Street 1:2041 HAWAII AVE NE
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33703-3419
Practice Address - Country:US
Practice Address - Phone:727-525-3777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0031137183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist