Provider Demographics
NPI:1043808439
Name:CORVINO, KAREN HELENE (RPH)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:HELENE
Last Name:CORVINO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:HELENE
Other - Last Name:PINEIRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:76 W LANDIS AVE
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-8100
Mailing Address - Country:US
Mailing Address - Phone:856-696-4881
Mailing Address - Fax:
Practice Address - Street 1:76 W LANDIS AVE
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-8100
Practice Address - Country:US
Practice Address - Phone:856-696-4881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-02
Last Update Date:2021-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01899800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist