Individual
KATHERINE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
555 19TH AVE, MOLINE, IL 61265-3761
(309) 762-1820
Mailing address
2224 MERRY OAKS LN, EAST MOLINE, IL 61244-9272
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051294837
IL
183500000X
Pharmacist
21407
IA
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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