Provider Demographics
NPI:1568688786
Name:FANCHER, KAREN M (PHARMD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:FANCHER
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 1:5007 KIMBERTON CT
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2047
Mailing Address - Country:US
Mailing Address - Phone:813-977-2984
Mailing Address - Fax:813-979-3994
Practice Address - Street 1:12902 MAGNOLIA DRIVE
Practice Address - Street 2:MOFFITT CANCER CENTER, PHARMACY DEPT
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612
Practice Address - Country:US
Practice Address - Phone:813-745-4640
Practice Address - Fax:813-979-3994
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS348221835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology