Provider Demographics
NPI:1669442943
Name:CACACE, KAREN L (RPH)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:L
Last Name:CACACE
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 1:14 HYDE LN
Mailing Address - Street 2:
Mailing Address - City:WESTAMPTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-3750
Mailing Address - Country:US
Mailing Address - Phone:609-261-7599
Mailing Address - Fax:
Practice Address - Street 1:SILVER PHARMACY
Practice Address - Street 2:1417 BRACE RD
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034
Practice Address - Country:US
Practice Address - Phone:856-795-3131
Practice Address - Fax:856-672-0347
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02174800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist