Provider Demographics
NPI:1619206257
Name:MCLAUGHLIN, KAREN ANN (RPH)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:MCLAUGHLIN
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 1:40 CARROLTON RD
Mailing Address - Street 2:
Mailing Address - City:WEST ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02132-6304
Mailing Address - Country:US
Mailing Address - Phone:617-327-4655
Mailing Address - Fax:
Practice Address - Street 1:40 CARROLTON RD
Practice Address - Street 2:
Practice Address - City:WEST ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02132-6304
Practice Address - Country:US
Practice Address - Phone:617-327-4655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA17640183500000X
FLPS 44731183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist