Provider Demographics
NPI:1982259883
Name:FIFER, KARA (PHARMD)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:FIFER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:
Other - Last Name:ASSELBORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1824 DEFOOR AVE NW APT 4106
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-3061
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:80 JESSE HILL JR DR SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-3031
Practice Address - Country:US
Practice Address - Phone:815-582-7786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS023281183500000X
IL051301991183500000X
GARPH031326183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist