MEDICARE: KAREN LEE URBANOWICZ 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	PH00071100	WA
2	183500000X	Pharmacist	3502	NH
3	183500000X	Pharmacist	PR5322	ME

General Provider Information

NPI Number	:	1578730461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN LEE URBANOWICZ PHARMD

Provider Business Mailing Address
First Line	:	2560 3RD AVE W
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98119-2306
Country	:	US
Telephone Number	:	206-284-7970
Fax Number	:

Provider Business Practice Location Address
First Line	:	1929 QUEEN ANNE AVE N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98109-2549
Country	:	US
Telephone Number	:	206-285-1737
Fax Number	:

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

Provider Enumeration Date	:	05/11/2008
Last Update Date	:	05/11/2008

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