Provider Demographics
NPI:1578252342
Name:MINDFUL MEDS DR. KARA SHIRLEY PHARMD LLC
Entity Type:Organization
Organization Name:MINDFUL MEDS DR. KARA SHIRLEY PHARMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT & OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KERRIE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SHIRLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, BCPS, BCPP
Authorized Official - Phone:509-593-8728
Mailing Address - Street 1:1250 N WENATCHEE AVE SUITE H
Mailing Address - Street 2:PMB 352
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801
Mailing Address - Country:US
Mailing Address - Phone:509-593-8728
Mailing Address - Fax:509-470-8562
Practice Address - Street 1:522 W RIVERSIDE AVE STE 8238
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0580
Practice Address - Country:US
Practice Address - Phone:509-593-8728
Practice Address - Fax:509-470-8562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-05
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Multi-Specialty
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapyGroup - Multi-Specialty
No1835P1300XPharmacy Service ProvidersPharmacistPsychiatricGroup - Multi-Specialty
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory CareGroup - Multi-Specialty