Provider Demographics
NPI:1376775569
Name:STAWSKI, KARIN THERESA (PHARMD RPH)
Entity type:Individual
Prefix:MRS
First Name:KARIN
Middle Name:THERESA
Last Name:STAWSKI
Suffix:
Gender:F
Credentials:PHARMD RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:250 N RANDALL RD
Mailing Address - Street 2:
Mailing Address - City:LAKE IN THE HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60156-5943
Mailing Address - Country:US
Mailing Address - Phone:847-960-9937
Mailing Address - Fax:847-960-9934
Practice Address - Street 1:250 N RANDALL RD
Practice Address - Street 2:
Practice Address - City:LAKE IN THE HILLS
Practice Address - State:IL
Practice Address - Zip Code:60156-5943
Practice Address - Country:US
Practice Address - Phone:847-960-9937
Practice Address - Fax:847-960-9934
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2014-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.039830183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist