MEDICARE: KAREN BERKELEY PHARMD

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
1	183500000X	Pharmacist	11059	SC

General Provider Information

NPI Number	:	1275646226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN BERKELEY PHARMD

Provider Business Mailing Address
First Line	:	204 W HILL BLVD
Second Line	:
City	:	CHARLESTON AFB
State	:	SC
Zip	:	29404-4704
Country	:	US
Telephone Number	:	843-963-6809
Fax Number	:	843-963-6727

Provider Business Practice Location Address
First Line	:	204 W HILL BLVD
Second Line	:
City	:	CHARLESTON AFB
State	:	SC
Zip	:	29404-4704
Country	:	US
Telephone Number	:	843-963-6809
Fax Number	:	843-963-6727

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	07/08/2007

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