Provider Demographics
NPI:1801290606
Name:VISCOMI, KAREN (PHARM D)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:VISCOMI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1254 INDIAN HILL RD
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-2871
Mailing Address - Country:US
Mailing Address - Phone:609-529-7953
Mailing Address - Fax:
Practice Address - Street 1:1795 HOOPER AVE
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-8135
Practice Address - Country:US
Practice Address - Phone:732-279-1431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-22
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03666000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist