Provider Demographics
NPI:1639337728
Name:LYNUM, KARIMAH SHANI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KARIMAH
Middle Name:SHANI
Last Name:LYNUM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:KARIMAH
Other - Middle Name:SHANI
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3900 WOODLAND AVE
Mailing Address - Street 2:PHARMACY SERVICE- 119
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4551
Mailing Address - Country:US
Mailing Address - Phone:215-823-4038
Mailing Address - Fax:215-823-4040
Practice Address - Street 1:3900 WOODLAND AVE
Practice Address - Street 2:PHARMACY SERVICE- 119
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4551
Practice Address - Country:US
Practice Address - Phone:215-823-4038
Practice Address - Fax:215-823-4040
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2009-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 41851183500000X
PARP443037183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist