Provider Demographics
NPI:1477994903
Name:LOUDEN, KAREN LEE (RPT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LEE
Last Name:LOUDEN
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:MRS
Other - First Name:KAREN
Other - Middle Name:LEE
Other - Last Name:CULKIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5100 CLARK RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-3226
Mailing Address - Country:US
Mailing Address - Phone:941-926-8532
Mailing Address - Fax:
Practice Address - Street 1:5100 CLARK RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-3226
Practice Address - Country:US
Practice Address - Phone:941-926-8532
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-12
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRPT8262183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician