MEDICARE: MS. KAREN ADKINS FERGUSON RPH

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	5302410970	MI
2	183500000X	Pharmacist	PS23840	FL

General Provider Information

NPI Number	:	1619233376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN ADKINS FERGUSON RPH

Provider Business Mailing Address
First Line	:	3230 SUNSET TER
Second Line	:
City	:	CENTRAL LAKE
State	:	MI
Zip	:	49622-9252
Country	:	US
Telephone Number	:	231-676-3432
Fax Number	:

Provider Business Practice Location Address
First Line	:	3230 SUNSET TER
Second Line	:
City	:	CENTRAL LAKE
State	:	MI
Zip	:	49622-9252
Country	:	US
Telephone Number	:	231-676-3432
Fax Number	:

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

Provider Enumeration Date	:	04/06/2012
Last Update Date	:	04/06/2012

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Directions to “ MS. KAREN ADKINS FERGUSON RPH” Practice Location

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