Provider Demographics
NPI:1437430444
Name:MCCRITE, KATHY A (RPH)
Entity Type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:A
Last Name:MCCRITE
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 1:805 WHITAKER ST
Mailing Address - Street 2:UNIT 11
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31401-6354
Mailing Address - Country:US
Mailing Address - Phone:912-500-6427
Mailing Address - Fax:
Practice Address - Street 1:805 WHITAKER ST
Practice Address - Street 2:UNIT 11
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31401-6354
Practice Address - Country:US
Practice Address - Phone:912-500-6427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-03
Last Update Date:2011-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3465183500000X
GA20764183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist