MEDICARE: MS. KAREN L SKINNER R.PH.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	13524	SC
2	183500000X	Pharmacist	RPH027059	GA
3	183500000X	Pharmacist	C-5838	TN

General Provider Information

NPI Number	:	1700926656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN L SKINNER R.PH.

Provider Business Mailing Address
First Line	:	431 PARK VILLAGE RD STE 105
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37923-3806
Country	:	US
Telephone Number	:	865-556-3080
Fax Number	:

Provider Business Practice Location Address
First Line	:	431 PARK VILLAGE RD STE 105
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37923-3806
Country	:	US
Telephone Number	:	865-730-4200
Fax Number	:	865-730-4201

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	07/21/2022

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