Basic Information
Provider Information
NPI: 1114124583
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HARRELL-TOSTO
FirstName: KAREN
MiddleName: LYNN
NamePrefix:  
NameSuffix:  
Credential: PHARMD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 506 SHIPMAST CT
Address2:  
City: BEAUFORT
State: NC
PostalCode: 285167698
CountryCode: US
TelephoneNumber: 2528381059
FaxNumber:  
Practice Location
Address1: PSC 8023 BLDG 4389
Address2: NAVAL HOSPITAL CHERRY POINT
City: CHERRY POINT
State: NC
PostalCode: 28533
CountryCode: US
TelephoneNumber: 2524660252
FaxNumber: 2524660287
Other Information
ProviderEnumerationDate: 06/29/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000X10938NCY Pharmacy Service ProvidersPharmacist 

No ID Information.


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