Provider Demographics
NPI:1326037045
Name:HAFNER, KATHERINE LOUISE (RPH)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:LOUISE
Last Name:HAFNER
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 1:315 BRESEMAN ST
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-5009
Mailing Address - Country:US
Mailing Address - Phone:214-521-4317
Mailing Address - Fax:
Practice Address - Street 1:315 BRESEMAN ST
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-5009
Practice Address - Country:US
Practice Address - Phone:214-521-4317
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX255601835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy