Provider Demographics
NPI:1578194346
Name:KEY, KATHERINE MARIE (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:MARIE
Last Name:KEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MRS
Other - First Name:KATHERINE
Other - Middle Name:MARIE
Other - Last Name:KLINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:61 W PEARL ST
Mailing Address - Street 2:
Mailing Address - City:COLDWATER
Mailing Address - State:MI
Mailing Address - Zip Code:49036-1933
Mailing Address - Country:US
Mailing Address - Phone:517-278-6186
Mailing Address - Fax:517-278-7074
Practice Address - Street 1:61 W PEARL ST
Practice Address - Street 2:
Practice Address - City:COLDWATER
Practice Address - State:MI
Practice Address - Zip Code:49036-1933
Practice Address - Country:US
Practice Address - Phone:517-278-6186
Practice Address - Fax:517-278-7074
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-30
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302041197183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist