Provider Demographics
NPI:1861937815
Name:SCOULLOS, KAREN T (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:T
Last Name:SCOULLOS
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 1:38 ENGLE RD
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-2130
Mailing Address - Country:US
Mailing Address - Phone:201-739-5838
Mailing Address - Fax:866-296-9247
Practice Address - Street 1:38 ENGLE RD
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2130
Practice Address - Country:US
Practice Address - Phone:201-739-5838
Practice Address - Fax:866-296-9247
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-29
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI017317001835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy