Provider Demographics
NPI:1275969529
Name:KARANJA, VERONICA W
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:W
Last Name:KARANJA
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 1:21 PARK ST
Mailing Address - Street 2:APT A
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-4811
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:21 PARK ST
Practice Address - Street 2:APT A
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-4811
Practice Address - Country:US
Practice Address - Phone:203-696-0127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-18
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0012761183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist