Provider Demographics
NPI:1417940131
Name:DONGES, KATHERINE MAY (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:MAY
Last Name:DONGES
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:MAY
Other - Last Name:NYQUIST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:360 MEDRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-7979
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1000 JOHNSON FERRY RD NE
Practice Address - Street 2:NORTHSIDE HOSPITAL PHARMACY
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1606
Practice Address - Country:US
Practice Address - Phone:404-851-8902
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH020883183500000X
TX40056183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist