Provider Demographics
NPI:1033759295
Name:LOVITT, KARA LEE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:KARA
Middle Name:LEE
Last Name:LOVITT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:KARA
Other - Middle Name:LEE
Other - Last Name:PHILLIPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:6827 SILVER LAKES DR
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:OH
Mailing Address - Zip Code:45822-8230
Mailing Address - Country:US
Mailing Address - Phone:419-305-2448
Mailing Address - Fax:
Practice Address - Street 1:510 E MARKET ST
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:OH
Practice Address - Zip Code:45822-1824
Practice Address - Country:US
Practice Address - Phone:419-586-8875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-15
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03226325183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist