Provider Demographics
NPI:1639409568
Name:JONES, KATRINA RIGOR (PHARMD)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:RIGOR
Last Name:JONES
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 1:13110 BOTHELL EVERETT HWY
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-7202
Mailing Address - Country:US
Mailing Address - Phone:425-379-7274
Mailing Address - Fax:
Practice Address - Street 1:13110 BOTHELL EVERETT HWY
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-7202
Practice Address - Country:US
Practice Address - Phone:425-379-7274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-24
Last Update Date:2015-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60089231183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist