Provider Demographics
NPI:1285021311
Name:VALERIO, KATHRYN MARY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:MARY
Last Name:VALERIO
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 1:1642 DICKERSON BLVD
Mailing Address - Street 2:PHARMACY
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-2764
Mailing Address - Country:US
Mailing Address - Phone:704-289-8583
Mailing Address - Fax:
Practice Address - Street 1:1642 DICKERSON BLVD
Practice Address - Street 2:PHARMACY
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-2764
Practice Address - Country:US
Practice Address - Phone:704-289-8583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-15
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23741183500000X
NY060011183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist