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NPI Code Detail

MEDICARE: DR. KAREN JEANETTE BILLS PHARM D

MEDICARE: DR. KAREN JEANETTE BILLS PHARM D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS34858FL

General Provider Information

NPI Number : 1265439616
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAREN JEANETTE BILLS PHARM D
Provider Business Mailing Address
First Line : PO BOX 237388
Second Line :
City : COCOA
State : FL
Zip : 32923-7388
Country : US
Telephone Number : 321-693-6690
Fax Number : 321-434-8108
Provider Business Practice Location Address
First Line : 1425 MALABAR RD NE
Second Line :
City : PALM BAY
State : FL
Zip : 32907-2506
Country : US
Telephone Number : 321-434-8049
Fax Number : 321-434-8108
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 01/27/2010

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