Provider Demographics
NPI:1578136636
Name:ORR, KATHERINE CLAIRE (PHARMD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:CLAIRE
Last Name:ORR
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 1:124 FLORIDA ST
Mailing Address - Street 2:
Mailing Address - City:LAURIUM
Mailing Address - State:MI
Mailing Address - Zip Code:49913-2064
Mailing Address - Country:US
Mailing Address - Phone:906-231-6046
Mailing Address - Fax:
Practice Address - Street 1:1007 MEM DR
Practice Address - Street 2:
Practice Address - City:HOUGHTON
Practice Address - State:MI
Practice Address - Zip Code:49931-2485
Practice Address - Country:US
Practice Address - Phone:906-231-8007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302413494183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist