Healthcare Provider Details

I. General information

NPI: 1255266318
Provider Name (Legal Business Name): KAREN M WITHERS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 INDUSTRIAL DR
LOUISA VA
23093-4187
US

IV. Provider business mailing address

14170 PEACOCK PL
MONTPELIER VA
23192-2553
US

V. Phone/Fax

Practice location:
  • Phone: 860-961-4183
  • Fax:
Mailing address:
  • Phone: 860-961-4183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number0202213505
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: