Provider Demographics
NPI:1003858085
Name:DAY, KAREN SUE (RPH)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:SUE
Last Name:DAY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4822 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50311-3327
Mailing Address - Country:US
Mailing Address - Phone:515-277-9131
Mailing Address - Fax:
Practice Address - Street 1:1990 GRAND AVE
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-4222
Practice Address - Country:US
Practice Address - Phone:515-223-8506
Practice Address - Fax:515-225-1628
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA18759183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist