Provider Demographics
NPI:1871996231
Name:FOREMAN, KARA (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:KARA
Middle Name:
Last Name:FOREMAN
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 1:103 BRECKENRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:MAUMELLE
Mailing Address - State:AR
Mailing Address - Zip Code:72113-5935
Mailing Address - Country:US
Mailing Address - Phone:501-412-3049
Mailing Address - Fax:
Practice Address - Street 1:1701 CLUB MANOR DR
Practice Address - Street 2:STE 1
Practice Address - City:MAUMELLE
Practice Address - State:AR
Practice Address - Zip Code:72113-7400
Practice Address - Country:US
Practice Address - Phone:501-851-4949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-30
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD11682183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist