Provider Demographics
NPI:1538292826
Name:HARBOR, KATHRYN LAUGHLIN (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:LAUGHLIN
Last Name:HARBOR
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 1:41099 PADDOCK AVE
Mailing Address - Street 2:
Mailing Address - City:EMERSON
Mailing Address - State:IA
Mailing Address - Zip Code:51533-4033
Mailing Address - Country:US
Mailing Address - Phone:712-824-7684
Mailing Address - Fax:
Practice Address - Street 1:711 S VINE ST
Practice Address - Street 2:
Practice Address - City:GLENWOOD
Practice Address - State:IA
Practice Address - Zip Code:51534-1927
Practice Address - Country:US
Practice Address - Phone:712-525-1503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAH16150183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist