MEDICARE: DR. KAREN E CALISH 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	3336L0003X	Long Term Care Pharmacy	PW0327	MD

General Provider Information

NPI Number	:	1467059170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN E CALISH PHARMD

Provider Business Mailing Address
First Line	:	127 SOUTHWAY
Second Line	:
City	:	SEVERNA PARK
State	:	MD
Zip	:	21146-2724
Country	:	US
Telephone Number	:	443-822-8499
Fax Number	:

Provider Business Practice Location Address
First Line	:	4611 ASSEMBLY DR STE H
Second Line	:
City	:	LANHAM
State	:	MD
Zip	:	20706-4841
Country	:	US
Telephone Number	:	410-789-8454
Fax Number	:	410-789-8456

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

Provider Enumeration Date	:	10/06/2020
Last Update Date	:	11/27/2023

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