Provider Demographics
NPI:1134766298
Name:SHEN, KAREN CAROL (PHARMD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:CAROL
Last Name:SHEN
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 1:508 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CORTEZ
Mailing Address - State:CO
Mailing Address - Zip Code:81321-3307
Mailing Address - Country:US
Mailing Address - Phone:970-565-6466
Mailing Address - Fax:970-565-2152
Practice Address - Street 1:508 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CORTEZ
Practice Address - State:CO
Practice Address - Zip Code:81321-3307
Practice Address - Country:US
Practice Address - Phone:970-565-6466
Practice Address - Fax:970-565-2152
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-06
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy