Provider Demographics
NPI:1194324327
Name:HOOLEY, KAREN MARIE (RPH)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:MARIE
Last Name:HOOLEY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 HILDA ST APT 4
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-1348
Mailing Address - Country:US
Mailing Address - Phone:857-499-4381
Mailing Address - Fax:
Practice Address - Street 1:57 HILDA ST APT 4
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-1348
Practice Address - Country:US
Practice Address - Phone:857-499-4381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-19
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18352183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty