Provider Demographics
NPI:1700345386
Name:GAYDOS, KAREN M (RPH)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:GAYDOS
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 1:949 BEARDS HILL RD
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:MD
Mailing Address - Zip Code:21001-1734
Mailing Address - Country:US
Mailing Address - Phone:410-272-3101
Mailing Address - Fax:410-272-6168
Practice Address - Street 1:949 BEARDS HILL RD
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-1734
Practice Address - Country:US
Practice Address - Phone:410-272-3101
Practice Address - Fax:410-272-6168
Is Sole Proprietor?:No
Enumeration Date:2019-03-13
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD12474183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist