Provider Demographics
NPI:1467176941
Name:TESCHER, KATIE A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KATIE
Middle Name:A
Last Name:TESCHER
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 1:1190 W TURNPIKE AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-1300
Mailing Address - Country:US
Mailing Address - Phone:701-224-0339
Mailing Address - Fax:701-224-0534
Practice Address - Street 1:1000 W CENTURY AVE
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-0913
Practice Address - Country:US
Practice Address - Phone:701-425-0970
Practice Address - Fax:877-790-2139
Is Sole Proprietor?:No
Enumeration Date:2022-09-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDRPH5493183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist