Provider Demographics
NPI:1407377021
Name:WILLIAMSON, KARIN P (PHARMACIST)
Entity type:Individual
Prefix:MS
First Name:KARIN
Middle Name:P
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1417 TWIN RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40242-3826
Mailing Address - Country:US
Mailing Address - Phone:502-287-7165
Mailing Address - Fax:
Practice Address - Street 1:2105 CRUMS LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40216-4231
Practice Address - Country:US
Practice Address - Phone:502-448-2007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-05
Last Update Date:2017-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY011274183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist