Provider Demographics
NPI:1225336472
Name:ANDREWS, KAREN LYN
Entity Type:Individual
Prefix:MISS
First Name:KAREN
Middle Name:LYN
Last Name:ANDREWS
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 1:9069 MARMONT LN
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-1263
Mailing Address - Country:US
Mailing Address - Phone:757-566-4198
Mailing Address - Fax:
Practice Address - Street 1:701 MERRIMAC TRL
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-5349
Practice Address - Country:US
Practice Address - Phone:757-229-0131
Practice Address - Fax:757-229-6195
Is Sole Proprietor?:No
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202011183183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist