Provider Demographics
NPI:1679744478
Name:CURTIS, KATHERINE LANAE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:LANAE
Last Name:CURTIS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MISS
Other - First Name:KATHERINE
Other - Middle Name:LANAE
Other - Last Name:RAYSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2215 FULLER RD
Mailing Address - Street 2:PHARMACY SERVICES
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-2303
Mailing Address - Country:US
Mailing Address - Phone:734-845-3419
Mailing Address - Fax:734-845-3214
Practice Address - Street 1:2215 FULLER RD
Practice Address - Street 2:PHARMACY SERVICES
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-2303
Practice Address - Country:US
Practice Address - Phone:734-845-3419
Practice Address - Fax:734-845-3214
Is Sole Proprietor?:No
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302032671183500000X
CA56857183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist