MEDICARE: KAREN BISHOP ALTSMAN RPH.

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	010406	KY

General Provider Information

NPI Number	:	1720254659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN BISHOP ALTSMAN RPH.

Provider Business Mailing Address
First Line	:	7519 OUTER LOOP
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40228-1726
Country	:	US
Telephone Number	:	502-231-2424
Fax Number	:	502-231-8748

Provider Business Practice Location Address
First Line	:	7519 OUTER LOOP
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40228-1726
Country	:	US
Telephone Number	:	502-231-2424
Fax Number	:	502-231-8748

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

Provider Enumeration Date	:	04/30/2008
Last Update Date	:	04/30/2008

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