Provider Demographics
NPI:1629671433
Name:KASKEWSKY, KAREN ANN (RPH)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:KASKEWSKY
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 1:106 MILAN AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:OH
Mailing Address - Zip Code:44857-1732
Mailing Address - Country:US
Mailing Address - Phone:419-668-8268
Mailing Address - Fax:419-660-0023
Practice Address - Street 1:106 MILAN AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:OH
Practice Address - Zip Code:44857-1732
Practice Address - Country:US
Practice Address - Phone:419-668-8268
Practice Address - Fax:419-660-0023
Is Sole Proprietor?:No
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03215726183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist