Healthcare Provider Details

I. General information

NPI: 1902202906
Provider Name (Legal Business Name): KARA CHARNOSKI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2014
Last Update Date: 11/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

289 GREENWOOD AVE
BETHEL CT
06801-2402
US

IV. Provider business mailing address

10 LEDGEMERE DR
DANBURY CT
06811-3604
US

V. Phone/Fax

Practice location:
  • Phone: 203-792-6190
  • Fax:
Mailing address:
  • Phone: 317-354-7525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0011453
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: