Provider Demographics
NPI:1598059560
Name:GIUFFRE, KAREN SUE
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:SUE
Last Name:GIUFFRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2340 LEGGE BLVD
Mailing Address - Street 2:T-1234
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-7008
Mailing Address - Country:US
Mailing Address - Phone:540-535-0227
Mailing Address - Fax:540-535-0227
Practice Address - Street 1:2340 LEGGE BLVD
Practice Address - Street 2:T-1234
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-7008
Practice Address - Country:US
Practice Address - Phone:540-535-0227
Practice Address - Fax:540-535-0227
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202208607183500000X
NJ28RI01873000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist