Provider Demographics
NPI:1346331410
Name:KARIAMPUZHA, ROSEMARIA K (PHARMD)
Entity Type:Individual
Prefix:
First Name:ROSEMARIA
Middle Name:K
Last Name:KARIAMPUZHA
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 1:1125 HUNT CREEK LN
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:MD
Mailing Address - Zip Code:21152-9719
Mailing Address - Country:US
Mailing Address - Phone:410-472-0230
Mailing Address - Fax:
Practice Address - Street 1:112 HUNT CREEK LANE
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:MD
Practice Address - Zip Code:21152
Practice Address - Country:US
Practice Address - Phone:410-472-0230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD38023183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist