Provider Demographics
NPI:1578661591
Name:LONCAR, KATRINA E (PHARMD)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:E
Last Name:LONCAR
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 1:869 HENDERSON AVE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-1361
Mailing Address - Country:US
Mailing Address - Phone:724-225-1592
Mailing Address - Fax:
Practice Address - Street 1:869 HENDERSON AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-1361
Practice Address - Country:US
Practice Address - Phone:724-225-1592
Practice Address - Fax:724-225-1651
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP438457183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARPI000567OtherAUTHORIZATION TO ADMINISTER INJECTABLES