Provider Demographics
NPI:1831790948
Name:SMITH, KAREN PATRICIA (RPH)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:PATRICIA
Last Name:SMITH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 7TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-3387
Mailing Address - Country:US
Mailing Address - Phone:202-238-0181
Mailing Address - Fax:844-411-6581
Practice Address - Street 1:1400 7TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-3387
Practice Address - Country:US
Practice Address - Phone:202-238-0181
Practice Address - Fax:844-411-6581
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH2928183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist