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NPI Code Detail

MEDICARE: KARIN CARESTIA

MEDICARE:   KARIN  CARESTIA
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
1183500000XPharmacist6024476-1701UT

General Provider Information

NPI Number : 1659506988
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARIN CARESTIA
Provider Business Mailing Address
First Line : 950 IRON HORSE DR
Second Line :
City : PARK CITY
State : UT
Zip : 84060-5126
Country : US
Telephone Number : 435-649-9621
Fax Number :
Provider Business Practice Location Address
First Line : 950 IRON HORSE DR
Second Line :
City : PARK CITY
State : UT
Zip : 84060-5126
Country : US
Telephone Number : 435-649-9621
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2009
Last Update Date : 05/15/2009

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Directions to “ KARIN CARESTIA ” Practice Location

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