Provider Demographics
NPI:1104460203
Name:ROBINSON, KAREN
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:689 N REDWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:UT
Mailing Address - Zip Code:84045-5190
Mailing Address - Country:US
Mailing Address - Phone:385-374-5480
Mailing Address - Fax:385-374-5485
Practice Address - Street 1:689 N REDWOOD RD
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:UT
Practice Address - Zip Code:84045-5190
Practice Address - Country:US
Practice Address - Phone:385-374-5480
Practice Address - Fax:385-374-5485
Is Sole Proprietor?:No
Enumeration Date:2019-10-31
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT151712-1701183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist