Provider Demographics
NPI:1518249036
Name:PARKER, KATE CORBIN (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:KATE
Middle Name:CORBIN
Last Name:PARKER
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10107 RESEARCH BLVD
Mailing Address - Street 2:T2409
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-5803
Mailing Address - Country:US
Mailing Address - Phone:512-687-1316
Mailing Address - Fax:512-687-1326
Practice Address - Street 1:10107 RESEARCH BLVD
Practice Address - Street 2:T2409
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-5803
Practice Address - Country:US
Practice Address - Phone:512-687-1316
Practice Address - Fax:512-687-1326
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-10
Last Update Date:2011-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50189183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist