Provider Demographics
NPI:1811050412
Name:BENDER, KARYN LYNNE (RPH, HHC)
Entity type:Individual
Prefix:MS
First Name:KARYN
Middle Name:LYNNE
Last Name:BENDER
Suffix:
Gender:F
Credentials:RPH, HHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:395 WHITNEY ST
Mailing Address - Street 2:
Mailing Address - City:NORTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01532-1151
Mailing Address - Country:US
Mailing Address - Phone:508-648-6652
Mailing Address - Fax:
Practice Address - Street 1:193 BOSTON POST RD W
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-1840
Practice Address - Country:US
Practice Address - Phone:508-229-0647
Practice Address - Fax:508-229-8207
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA24167183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist