Provider Demographics
NPI:1932496965
Name:CHAPPELL, KAREN (PHARMD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:CHAPPELL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1654 GADSDEN HWY
Mailing Address - Street 2:T-1773
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-3104
Mailing Address - Country:US
Mailing Address - Phone:205-655-2310
Mailing Address - Fax:205-655-2310
Practice Address - Street 1:1654 GADSDEN HWY
Practice Address - Street 2:T-1773
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3104
Practice Address - Country:US
Practice Address - Phone:205-655-2310
Practice Address - Fax:205-655-2310
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-28
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14037183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist