Provider Demographics
NPI:1316370778
Name:STEIN, KATHERINE ANNE (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:ANNE
Last Name:STEIN
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4734 E RAY RD
Mailing Address - Street 2:T-0909
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-6225
Mailing Address - Country:US
Mailing Address - Phone:480-893-0588
Mailing Address - Fax:480-567-9859
Practice Address - Street 1:4734 E RAY RD
Practice Address - Street 2:T-0909
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-6225
Practice Address - Country:US
Practice Address - Phone:480-893-0588
Practice Address - Fax:480-567-9859
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-20
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS020067183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist