Provider Demographics
NPI:1700510559
Name:MA, KARLENE (PHARMD)
Entity Type:Individual
Prefix:
First Name:KARLENE
Middle Name:
Last Name:MA
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 1:3538 TORRANCE BLVD UNIT 159
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-4899
Mailing Address - Country:US
Mailing Address - Phone:845-633-1682
Mailing Address - Fax:
Practice Address - Street 1:3538 TORRANCE BLVD UNIT 159
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4899
Practice Address - Country:US
Practice Address - Phone:845-633-1682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-15
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051957183500000X
CA84537183500000X
NJ28RI03168900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist