Provider Demographics
NPI:1497847974
Name:PRESTON, KARYN W (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KARYN
Middle Name:W
Last Name:PRESTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:KARYN
Other - Middle Name:
Other - Last Name:WU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:8300 OCEANVIEW TER
Mailing Address - Street 2:215
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94132-3282
Mailing Address - Country:US
Mailing Address - Phone:650-747-4771
Mailing Address - Fax:
Practice Address - Street 1:4131 GEARY BLVD
Practice Address - Street 2:BASEMENT RM 25
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3101
Practice Address - Country:US
Practice Address - Phone:415-833-4203
Practice Address - Fax:415-833-2586
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52215183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist