Provider Demographics
NPI:1508154170
Name:LOUIE, KARA (PHARMD)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:LOUIE
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 1:1057 EASTSHORE HWY
Mailing Address - Street 2:T-1926
Mailing Address - City:ALBANY
Mailing Address - State:CA
Mailing Address - Zip Code:94710-1011
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1057 EASTSHORE HWY
Practice Address - Street 2:T-1926
Practice Address - City:ALBANY
Practice Address - State:CA
Practice Address - Zip Code:94710-1011
Practice Address - Country:US
Practice Address - Phone:510-982-0513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-18
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60384183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist