Provider Demographics
NPI:1710269915
Name:TARBOTTON, KAREN (RPH)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:TARBOTTON
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 1:607 ABINGDON CIR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19363-3313
Mailing Address - Country:US
Mailing Address - Phone:484-880-2857
Mailing Address - Fax:484-801-0603
Practice Address - Street 1:302 INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:PA
Practice Address - Zip Code:19311
Practice Address - Country:US
Practice Address - Phone:610-910-9580
Practice Address - Fax:484-801-0603
Is Sole Proprietor?:No
Enumeration Date:2011-09-13
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0002974183500000X
MD23209183500000X
PARPI001862183500000X
PARP042493L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist