Provider Demographics
NPI:1952683880
Name:WELCH, KARA DENYSE (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:KARA
Middle Name:DENYSE
Last Name:WELCH
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:MISS
Other - First Name:KARA
Other - Middle Name:DENYSE
Other - Last Name:MENESICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3180 SE FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-5531
Mailing Address - Country:US
Mailing Address - Phone:772-288-6468
Mailing Address - Fax:772-288-7254
Practice Address - Street 1:3180 SE FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-5531
Practice Address - Country:US
Practice Address - Phone:772-288-6468
Practice Address - Fax:772-288-7254
Is Sole Proprietor?:No
Enumeration Date:2011-09-16
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS47625183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist