Healthcare Provider Details

I. General information

NPI: 1215181433
Provider Name (Legal Business Name): LISA M KARSTEN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2008
Last Update Date: 11/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7802 VILLA NOVA DR
BOCA RATON FL
33433-1027
US

IV. Provider business mailing address

7802 VILLA NOVA DR
BOCA RATON FL
33433-1027
US

V. Phone/Fax

Practice location:
  • Phone: 561-750-3435
  • Fax:
Mailing address:
  • Phone: 561-750-3435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS26245
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License NumberPU5388
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: