Provider Demographics
NPI:1295339414
Name:CUMMINS, KARIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KARIE
Middle Name:
Last Name:CUMMINS
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 1:3074 GRASSY BEND DR
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-9384
Mailing Address - Country:US
Mailing Address - Phone:765-748-1034
Mailing Address - Fax:
Practice Address - Street 1:2565 LONDON GROVEPORT RD
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-9035
Practice Address - Country:US
Practice Address - Phone:614-277-2921
Practice Address - Fax:614-277-2926
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-29
Last Update Date:2020-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03230438183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist