Provider Demographics
NPI:1427214394
Name:MAHANEY, KAREN C (PHARM D)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:C
Last Name:MAHANEY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 ELLERSLIE PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40515-5716
Mailing Address - Country:US
Mailing Address - Phone:859-309-2656
Mailing Address - Fax:859-309-2656
Practice Address - Street 1:3813 DYLAN PL
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40514-1062
Practice Address - Country:US
Practice Address - Phone:859-219-0102
Practice Address - Fax:859-219-0341
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY9986183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist