Provider Demographics
NPI:1376643072
Name:KARA, CAROLYN MARIE (RPH)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:MARIE
Last Name:KARA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:293 W PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-2239
Mailing Address - Country:US
Mailing Address - Phone:216-476-4338
Mailing Address - Fax:216-476-6953
Practice Address - Street 1:18200 LORAIN AVENUE
Practice Address - Street 2:CLEVLAND CLINIC CANCER CENTER- MOLL PAVILLION-PHARMACY
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111
Practice Address - Country:US
Practice Address - Phone:216-476-4338
Practice Address - Fax:216-476-6953
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-17125183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist