Provider Demographics
NPI:1508156605
Name:SYLVESTER, KAREN GAIL (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:GAIL
Last Name:SYLVESTER
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5452 RIVER RD N
Mailing Address - Street 2:
Mailing Address - City:KEIZER
Mailing Address - State:OR
Mailing Address - Zip Code:97303-4699
Mailing Address - Country:US
Mailing Address - Phone:503-393-8950
Mailing Address - Fax:503-390-7838
Practice Address - Street 1:5452 RIVER RD N
Practice Address - Street 2:
Practice Address - City:KEIZER
Practice Address - State:OR
Practice Address - Zip Code:97303-4699
Practice Address - Country:US
Practice Address - Phone:503-393-8950
Practice Address - Fax:503-390-7838
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR6491183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist