Provider Demographics
NPI:1841875093
Name:GOSS, KAREN (CPHT)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:GOSS
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FELTON
Mailing Address - State:PA
Mailing Address - Zip Code:17322-9018
Mailing Address - Country:US
Mailing Address - Phone:717-246-0378
Mailing Address - Fax:
Practice Address - Street 1:693 LOMBARD RD
Practice Address - Street 2:
Practice Address - City:RED LION
Practice Address - State:PA
Practice Address - Zip Code:17356-9054
Practice Address - Country:US
Practice Address - Phone:717-246-4761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician