Provider Demographics
NPI:1417231093
Name:SPRINGER, KATHY DARLENE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:DARLENE
Last Name:SPRINGER
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 1:4090 E GALBRAITH RD
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2324
Mailing Address - Country:US
Mailing Address - Phone:513-891-2808
Mailing Address - Fax:513-891-8643
Practice Address - Street 1:4090 E GALBRAITH RD
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:OH
Practice Address - Zip Code:45236-2324
Practice Address - Country:US
Practice Address - Phone:513-891-2808
Practice Address - Fax:513-891-8643
Is Sole Proprietor?:No
Enumeration Date:2011-09-30
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03116276183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist