Doctor Name: | MS. KAREN MARIE DISANDRO |
NPI Number: | 1457414682 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | TCH15695 |
Business Practice Address: | 2210 Sunrise Blvd Rancho Cordova, CA - 95670 |
Business Phone Number: | 9166380214 |
Business Fax Number: | 9166382513 |
Mailing Address: | 7220 Kersten Street, CITRUS HEIGHTS |
State: | CA |
Postal Code: | 95621 |
Phone Number: | 9167267574 |
Fax Number: | 9167267574 |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | TCH15695 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |