Provider Demographics
NPI:1124399290
Name:SAIS, KAREN J (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:J
Last Name:SAIS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:J
Other - Last Name:WELCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:164 BONNYMEDE RD APT E
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81001-1323
Mailing Address - Country:US
Mailing Address - Phone:719-251-7218
Mailing Address - Fax:
Practice Address - Street 1:1013 BONFORTE BLVD
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81001-1856
Practice Address - Country:US
Practice Address - Phone:719-251-7218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-22
Last Update Date:2012-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO16365183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist