Healthcare Provider Details

I. General information

NPI: 1114252202
Provider Name (Legal Business Name): KAREN ANNE WOLFSON PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2009
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 N SWITZER CANYON DR
FLAGSTAFF AZ
86001-4836
US

IV. Provider business mailing address

201 N SWITZER CANYON DR
FLAGSTAFF AZ
86001-4836
US

V. Phone/Fax

Practice location:
  • Phone: 928-774-3389
  • Fax: 928-774-8554
Mailing address:
  • Phone: 928-774-3389
  • Fax: 928-774-8554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number13849
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: