=====================================================
General NPI Number Information
=====================================================
NPI Number | 1114124583
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KAREN LYNN HARRELL-TOSTO PHARMD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/29/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | PSC 8023 BLDG 4389 NAVAL HOSPITAL CHERRY POINT
-----------------------------------------------------
City | CHERRY POINT
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28533
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-466-0252
-----------------------------------------------------
Fax | 252-466-0287
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 506 SHIPMAST CT
-----------------------------------------------------
City | BEAUFORT
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28516-7698
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-838-1059
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 10938
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------