Provider Demographics
NPI:1316290695
Name:SFARA, KIRSTIN E (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KIRSTIN
Middle Name:E
Last Name:SFARA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:KIRSTIN
Other - Middle Name:E
Other - Last Name:KLEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1000 SOUTH MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720
Mailing Address - Country:US
Mailing Address - Phone:330-497-8316
Mailing Address - Fax:330-494-8236
Practice Address - Street 1:1000 SOUTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720
Practice Address - Country:US
Practice Address - Phone:330-497-8316
Practice Address - Fax:330-494-8236
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-23
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP446884183500000X
OH03-2-33330183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist