Provider Demographics
NPI:1659795235
Name:KARR, SAMANTHA ANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:ANN
Last Name:KARR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:ANN
Other - Last Name:TYRRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH, PHARMD
Mailing Address - Street 1:9165 W THUNDERBIRD RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-4847
Mailing Address - Country:US
Mailing Address - Phone:623-876-6960
Mailing Address - Fax:623-523-6594
Practice Address - Street 1:9165 W THUNDERBIRD RD
Practice Address - Street 2:SUITE 100
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4847
Practice Address - Country:US
Practice Address - Phone:623-876-6960
Practice Address - Fax:623-523-6594
Is Sole Proprietor?:No
Enumeration Date:2014-02-18
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSO168821835P0018X
MI53020290441835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist