Provider Demographics
NPI:1598920779
Name:MILES, KAREN S (RPH)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:S
Last Name:MILES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6300 HEART PINE DR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-7823
Mailing Address - Country:US
Mailing Address - Phone:850-484-2696
Mailing Address - Fax:850-476-3337
Practice Address - Street 1:1650 AIRPORT BLVD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-8618
Practice Address - Country:US
Practice Address - Phone:850-484-4555
Practice Address - Fax:850-476-3337
Is Sole Proprietor?:No
Enumeration Date:2008-07-27
Last Update Date:2008-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0024078183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist