Provider Demographics
NPI:1730471855
Name:KAROSCIK, STANLEY (RPH)
Entity Type:Individual
Prefix:
First Name:STANLEY
Middle Name:
Last Name:KAROSCIK
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 JENNA KAY DR
Mailing Address - Street 2:
Mailing Address - City:ARCHBALD
Mailing Address - State:PA
Mailing Address - Zip Code:18403-1584
Mailing Address - Country:US
Mailing Address - Phone:570-876-0153
Mailing Address - Fax:
Practice Address - Street 1:667 ROUTE 739
Practice Address - Street 2:
Practice Address - City:HAWLEY
Practice Address - State:PA
Practice Address - Zip Code:18428-6001
Practice Address - Country:US
Practice Address - Phone:570-775-0405
Practice Address - Fax:570-775-1513
Is Sole Proprietor?:No
Enumeration Date:2011-05-08
Last Update Date:2011-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP032357L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist