Provider Demographics
NPI:1306412051
Name:BIESCHKE, KARLA RAE (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:RAE
Last Name:BIESCHKE
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15-121 KAMANO ST
Mailing Address - Street 2:
Mailing Address - City:PAHOA
Mailing Address - State:HI
Mailing Address - Zip Code:96778-8584
Mailing Address - Country:US
Mailing Address - Phone:808-333-0943
Mailing Address - Fax:
Practice Address - Street 1:15-121 KAMANO ST
Practice Address - Street 2:
Practice Address - City:PAHOA
Practice Address - State:HI
Practice Address - Zip Code:96778-8584
Practice Address - Country:US
Practice Address - Phone:808-333-0943
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH-3796183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist