Provider Demographics
NPI:1528157609
Name:DANG, KAREN T (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:T
Last Name:DANG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 LILY DR
Mailing Address - Street 2:
Mailing Address - City:MAUMELLE
Mailing Address - State:AR
Mailing Address - Zip Code:72113-5831
Mailing Address - Country:US
Mailing Address - Phone:501-257-3348
Mailing Address - Fax:
Practice Address - Street 1:VA MEDICAL CENTER PHARMACY SERVICE
Practice Address - Street 2:2200 FORT ROOTS DR
Practice Address - City:N. LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114
Practice Address - Country:US
Practice Address - Phone:501-257-3348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD09179183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist