Provider Demographics
NPI:1629300074
Name:BUJNO, KAREN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:BUJNO
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 1:2084 STATE ROUTE 208
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:NY
Mailing Address - Zip Code:12549-2611
Mailing Address - Country:US
Mailing Address - Phone:845-769-9203
Mailing Address - Fax:
Practice Address - Street 1:2084 STATE ROUTE 208
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:NY
Practice Address - Zip Code:12549-2611
Practice Address - Country:US
Practice Address - Phone:845-769-9203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-10
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048112183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist