Provider Demographics
NPI:1700218138
Name:CRONE, KATHERINE H (PHARMD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:H
Last Name:CRONE
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 1:121 S COLUMBUS ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PEKIN
Mailing Address - State:IL
Mailing Address - Zip Code:61554-1076
Mailing Address - Country:US
Mailing Address - Phone:217-828-0341
Mailing Address - Fax:
Practice Address - Street 1:221 NE GLEN OAK AVE
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61636-0001
Practice Address - Country:US
Practice Address - Phone:309-672-4968
Practice Address - Fax:309-672-3125
Is Sole Proprietor?:No
Enumeration Date:2013-08-08
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051296775183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist