Basic Information
| Provider Information | |||||||||
| NPI: | 1104973502 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CLAWSON | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | G | ||||||||
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| Credential: | D.PH. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7709 W OGG RD | ||||||||
| Address2: | |||||||||
| City: | KNOXVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 379384456 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8652167842 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2018 WESTERN AVE | ||||||||
| Address2: | |||||||||
| City: | KNOXVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 379215718 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8659346727 | ||||||||
| FaxNumber: | 8659346775 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/05/2007 | ||||||||
| LastUpdateDate: | 11/22/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 4751 | TN | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.