Provider Demographics
NPI:1255621298
Name:CARRIUOLO, KAREN LYNN (RPH)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:LYNN
Last Name:CARRIUOLO
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 1:210 ROCKY HILL RD
Mailing Address - Street 2:
Mailing Address - City:REHOBOTH
Mailing Address - State:MA
Mailing Address - Zip Code:02769-1400
Mailing Address - Country:US
Mailing Address - Phone:508-463-6271
Mailing Address - Fax:
Practice Address - Street 1:210 ROCKY HILL RD
Practice Address - Street 2:
Practice Address - City:REHOBOTH
Practice Address - State:MA
Practice Address - Zip Code:02769-1400
Practice Address - Country:US
Practice Address - Phone:508-463-6271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA235251835G0303X
RI039031835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric