Provider Demographics
NPI:1851752141
Name:REEDER, KAREN MOORING
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:MOORING
Last Name:REEDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:973 N HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-3904
Mailing Address - Country:US
Mailing Address - Phone:919-337-9784
Mailing Address - Fax:
Practice Address - Street 1:973 N HARRISON AVE
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-3904
Practice Address - Country:US
Practice Address - Phone:919-337-9784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-14
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13103183500000X
VA0202013052183500000X
FLPS50311183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist