Provider Demographics
NPI:1326329939
Name:MAGRO, KATE A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KATE
Middle Name:A
Last Name:MAGRO
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 1:112 LAKE SHORE AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH HAMILTON
Mailing Address - State:MA
Mailing Address - Zip Code:01982-2604
Mailing Address - Country:US
Mailing Address - Phone:978-660-2148
Mailing Address - Fax:
Practice Address - Street 1:350 MAIN ST STE 640
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-5089
Practice Address - Country:US
Practice Address - Phone:781-338-0670
Practice Address - Fax:781-338-0690
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-09
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH233770183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist