Provider Demographics
NPI:1649359118
Name:OLES, KAREN SUSAN (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:SUSAN
Last Name:OLES
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3815 FIRESTONE RD
Mailing Address - Street 2:
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27284-8212
Mailing Address - Country:US
Mailing Address - Phone:336-993-4652
Mailing Address - Fax:336-713-7028
Practice Address - Street 1:MEDICAL CENTER BOULEVARD
Practice Address - Street 2:
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-1069
Practice Address - Country:US
Practice Address - Phone:336-713-7011
Practice Address - Fax:336-713-7028
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC077261835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC700062OtherCLINICAL PHARMACIST PRACT