Provider Demographics
NPI:1396290219
Name:GUEST, KAREN LEE (RPH)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:LEE
Last Name:GUEST
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 1:1919 LARCHMONT PL
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-5915
Mailing Address - Country:US
Mailing Address - Phone:856-266-6620
Mailing Address - Fax:
Practice Address - Street 1:1919 LARCHMONT PL
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-5915
Practice Address - Country:US
Practice Address - Phone:856-266-6620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-20
Last Update Date:2016-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01598800183500000X
PARP033821R183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist