Provider Demographics
NPI:1164082756
Name:STOCKTON, KATHARINE (PHARMD)
Entity Type:Individual
Prefix:
First Name:KATHARINE
Middle Name:
Last Name:STOCKTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 MAPLE ST APT 624
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72114-5483
Mailing Address - Country:US
Mailing Address - Phone:904-333-9548
Mailing Address - Fax:
Practice Address - Street 1:720 MAPLE ST APT 624
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114-5483
Practice Address - Country:US
Practice Address - Phone:904-333-9548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD14991183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist