Provider Demographics
NPI:1639778657
Name:BRICKER, KARA (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:BRICKER
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4241 CAPITOL AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-3635
Mailing Address - Country:US
Mailing Address - Phone:972-338-3101
Mailing Address - Fax:
Practice Address - Street 1:4241 CAPITOL AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-3635
Practice Address - Country:US
Practice Address - Phone:972-338-3101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39443183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist