Ivie, Karis

Ivie, Karis is an individual health care provider with primary practice located at 1500 N Westwood Blvd , Poplar Bluff MO 63901-3318. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is her primary health care specialty. Ivie, Karis can be contacted via phone (573) 618-4151.

Contact Information

Primary practice address
1500 N Westwood Blvd Poplar Bluff MO 63901-3318
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 2013026221 Missouri
Pharmacy Service Providers / Pharmacist 183500000X 2013026221 Missouri

Profile Details

NPI number 1407260805
LBN Legal business name Ivie, Karis
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2014
Last updated Nov 29th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407260805 NPPES
Missouri Other 2013026221 MISSOURI BOARD OF PHARMACY

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