Provider Demographics
NPI:1639773757
Name:STIFF, KAREN LEAH (REGISTERED PHARMACIS)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:LEAH
Last Name:STIFF
Suffix:
Gender:F
Credentials:REGISTERED PHARMACIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 SUMMERSHADE CIR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-2722
Mailing Address - Country:US
Mailing Address - Phone:859-576-4100
Mailing Address - Fax:
Practice Address - Street 1:4230 SARON DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40515-6300
Practice Address - Country:US
Practice Address - Phone:859-272-1272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY010467183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist