Provider Demographics
NPI:1700414018
Name:SPANGLER, KATLYN JOELLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KATLYN
Middle Name:JOELLE
Last Name:SPANGLER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:KATLYN
Other - Middle Name:JOELLE
Other - Last Name:COCHRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:255 CUMBERLAND PKWY
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-5677
Mailing Address - Country:US
Mailing Address - Phone:717-591-0993
Mailing Address - Fax:717-591-0997
Practice Address - Street 1:255 CUMBERLAND PKWY
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-5677
Practice Address - Country:US
Practice Address - Phone:717-591-0993
Practice Address - Fax:717-591-0997
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-31
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP444568183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist