Provider Demographics
NPI:1487939971
Name:KARWOWSKI, CHARLES R (RPH)
Entity type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:R
Last Name:KARWOWSKI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8400 W NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:MELROSE PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60160-1607
Mailing Address - Country:US
Mailing Address - Phone:708-397-2914
Mailing Address - Fax:708-397-2911
Practice Address - Street 1:8400 W NORTH AVE
Practice Address - Street 2:
Practice Address - City:MELROSE PARK
Practice Address - State:IL
Practice Address - Zip Code:60160-1607
Practice Address - Country:US
Practice Address - Phone:708-397-2914
Practice Address - Fax:708-397-2911
Is Sole Proprietor?:No
Enumeration Date:2011-10-15
Last Update Date:2011-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0510288981835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist