Provider Demographics
NPI:1689085409
Name:SHEETS, KAREN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:SHEETS
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 1:692 FREEMAN LN
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95949-9616
Mailing Address - Country:US
Mailing Address - Phone:530-272-2496
Mailing Address - Fax:530-274-0632
Practice Address - Street 1:692 FREEMAN LN
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95949-9616
Practice Address - Country:US
Practice Address - Phone:530-272-2496
Practice Address - Fax:530-274-0632
Is Sole Proprietor?:No
Enumeration Date:2014-05-14
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54226183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist