Provider Demographics
NPI:1134496789
Name:KAAKEH, ROLA (PHARMD, CFPH)
Entity Type:Individual
Prefix:DR
First Name:ROLA
Middle Name:
Last Name:KAAKEH
Suffix:
Gender:F
Credentials:PHARMD, CFPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15160 N MERIDIAN ST
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-1399
Mailing Address - Country:US
Mailing Address - Phone:317-564-3522
Mailing Address - Fax:
Practice Address - Street 1:15160 N MERIDIAN ST
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-1399
Practice Address - Country:US
Practice Address - Phone:317-564-3522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-28
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26022418A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist