Provider Demographics
NPI:1306536230
Name:ALMAULA, KARAN
Entity type:Individual
Prefix:
First Name:KARAN
Middle Name:
Last Name:ALMAULA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 BARKSDALE BLVD APT 911
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71112-4697
Mailing Address - Country:US
Mailing Address - Phone:647-878-6765
Mailing Address - Fax:
Practice Address - Street 1:119 W MARSHALL AVE
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-5340
Practice Address - Country:US
Practice Address - Phone:903-753-2686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71173183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist