Provider Demographics
NPI:1902892193
Name:JONAS, KAREN A (RPH, FASCP)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:A
Last Name:JONAS
Suffix:
Gender:F
Credentials:RPH, FASCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 N WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48906-5166
Mailing Address - Country:US
Mailing Address - Phone:517-377-0254
Mailing Address - Fax:517-484-4893
Practice Address - Street 1:815 N WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48906-5166
Practice Address - Country:US
Practice Address - Phone:517-377-0254
Practice Address - Fax:517-484-4893
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302410790183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist