Provider Demographics
NPI:1750127221
Name:TIPTON, KAREN ANN (PHARMD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:TIPTON
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 1:701 HOPI ST
Mailing Address - Street 2:
Mailing Address - City:HIAWATHA
Mailing Address - State:KS
Mailing Address - Zip Code:66434-8929
Mailing Address - Country:US
Mailing Address - Phone:785-742-4213
Mailing Address - Fax:
Practice Address - Street 1:701 HOPI ST
Practice Address - Street 2:
Practice Address - City:HIAWATHA
Practice Address - State:KS
Practice Address - Zip Code:66434-8929
Practice Address - Country:US
Practice Address - Phone:785-742-4213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-107246183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist