Provider Demographics
NPI:1396227062
Name:ROLFES, KARA (PHARMD)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:ROLFES
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 1:2104 DICKSON RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR GROVE
Mailing Address - State:IN
Mailing Address - Zip Code:47016-9792
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2104 DICKSON RD
Practice Address - Street 2:
Practice Address - City:CEDAR GROVE
Practice Address - State:IN
Practice Address - Zip Code:47016-9792
Practice Address - Country:US
Practice Address - Phone:513-389-6916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03328550183500000X
IN26020826A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist