Provider Demographics
NPI:1073925285
Name:CANTRELL, KARI (PHARMD)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:
Last Name:CANTRELL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 N HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89506-5732
Mailing Address - Country:US
Mailing Address - Phone:775-677-8750
Mailing Address - Fax:775-677-6623
Practice Address - Street 1:1075 N HILLS BLVD
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89506-5732
Practice Address - Country:US
Practice Address - Phone:775-677-8750
Practice Address - Fax:775-677-6623
Is Sole Proprietor?:No
Enumeration Date:2014-05-21
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV18556183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist