Provider Demographics
NPI:1740280866
Name:LLANO, KARA M (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KARA
Middle Name:M
Last Name:LLANO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:M
Other - Last Name:CARRUTHERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1403 N VETERANS PKWY
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:61704-2201
Mailing Address - Country:US
Mailing Address - Phone:309-663-3050
Mailing Address - Fax:
Practice Address - Street 1:1403 N VETERANS PKWY
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IL
Practice Address - Zip Code:61704-2201
Practice Address - Country:US
Practice Address - Phone:309-663-3050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20043183500000X
IL051-290348183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0013300Medicaid