MEDICARE: MRS. KAREN BUJNO 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	048112	NY

General Provider Information

NPI Number	:	1629300074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN BUJNO RPH

Provider Business Mailing Address
First Line	:	2084 STATE ROUTE 208
Second Line	:
City	:	MONTGOMERY
State	:	NY
Zip	:	12549-2611
Country	:	US
Telephone Number	:	845-769-9203
Fax Number	:

Provider Business Practice Location Address
First Line	:	2084 STATE ROUTE 208
Second Line	:
City	:	MONTGOMERY
State	:	NY
Zip	:	12549-2611
Country	:	US
Telephone Number	:	845-769-9203
Fax Number	:

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

Provider Enumeration Date	:	02/10/2010
Last Update Date	:	01/19/2023

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