Provider Demographics
NPI:1093023087
Name:TROXTEL, KATHILYN (RPH)
Entity Type:Individual
Prefix:MS
First Name:KATHILYN
Middle Name:
Last Name:TROXTEL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13771 N FOUNTAIN HILLS BLVD # 114-188
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85268-3762
Mailing Address - Country:US
Mailing Address - Phone:480-299-5905
Mailing Address - Fax:480-452-1243
Practice Address - Street 1:14845 E SHEA BLVD
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILLS
Practice Address - State:AZ
Practice Address - Zip Code:85268-5937
Practice Address - Country:US
Practice Address - Phone:480-836-7313
Practice Address - Fax:480-836-7317
Is Sole Proprietor?:No
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS007809183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist