Healthcare Provider Details

I. General information

NPI: 1407166887
Provider Name (Legal Business Name): KAREN RENEE SANDO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2010
Last Update Date: 10/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S NEWELL DRIVE HPNP, BLDG 212
GAINESVILLE FL
32608
US

IV. Provider business mailing address

PO BOX 100486
GAINESVILLE FL
32610
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-6224
  • Fax: 352-273-6242
Mailing address:
  • Phone: 352-273-6224
  • Fax: 352-273-6242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS43857
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: