Provider Demographics
NPI:1932706876
Name:SUNDBERG, KAROLYN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KAROLYN
Middle Name:
Last Name:SUNDBERG
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 1:2250 NEW LONDON TPKE
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-1257
Mailing Address - Country:US
Mailing Address - Phone:401-821-3145
Mailing Address - Fax:401-821-4512
Practice Address - Street 1:2250 NEW LONDON TPKE
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-1257
Practice Address - Country:US
Practice Address - Phone:401-821-3145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH6032183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI4014748916OtherTELEPHONE NUMBER