Individual
KATHARINE LILLIAN COLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 US HWY 64, MANTEO, NC 27954
(252) 473-5056
Mailing address
1020 CREEK RD, KITTY HAWK, NC 27949-3823
(540) 623-0600
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
31370
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0285114
—
NC
Enumeration date
11/30/2022
Last updated
11/30/2022
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