Provider Demographics
NPI:1265439616
Name:BILLS, KAREN JEANETTE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:JEANETTE
Last Name:BILLS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 237388
Mailing Address - Street 2:
Mailing Address - City:COCOA
Mailing Address - State:FL
Mailing Address - Zip Code:32923-7388
Mailing Address - Country:US
Mailing Address - Phone:321-693-6690
Mailing Address - Fax:321-434-8108
Practice Address - Street 1:1425 MALABAR RD NE
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32907-2506
Practice Address - Country:US
Practice Address - Phone:321-434-8049
Practice Address - Fax:321-434-8108
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS34858183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist