Healthcare Provider Details

I. General information

NPI: 1265439616
Provider Name (Legal Business Name): KAREN JEANETTE BILLS PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 01/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 MALABAR RD NE
PALM BAY FL
32907-2506
US

IV. Provider business mailing address

PO BOX 237388
COCOA FL
32923-7388
US

V. Phone/Fax

Practice location:
  • Phone: 321-434-8049
  • Fax: 321-434-8108
Mailing address:
  • Phone: 321-693-6690
  • Fax: 321-434-8108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS34858
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: