Provider Demographics
NPI:1992357834
Name:LUGO, KAREN D (PHARMD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:D
Last Name:LUGO
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 1:63 AVE MUNOZ RIVERA E
Mailing Address - Street 2:
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-2630
Mailing Address - Country:US
Mailing Address - Phone:787-898-2604
Mailing Address - Fax:787-262-4822
Practice Address - Street 1:63 AVE MUNOZ RIVERA E
Practice Address - Street 2:
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627-2630
Practice Address - Country:US
Practice Address - Phone:787-898-2604
Practice Address - Fax:787-262-4822
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-11
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR47293336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4729OtherPHARMACIST LICENSE
PR092189OtherBOARD OF PHARMACY