Provider Demographics
NPI:1720370463
Name:THURSTON, KATE A (PHARMD)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:A
Last Name:THURSTON
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 1:1021 S HIGHLINE PL
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57110-1000
Mailing Address - Country:US
Mailing Address - Phone:605-333-5601
Mailing Address - Fax:605-333-5611
Practice Address - Street 1:1021 S HIGHLINE PL
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57110-1000
Practice Address - Country:US
Practice Address - Phone:605-333-5601
Practice Address - Fax:605-333-5611
Is Sole Proprietor?:No
Enumeration Date:2011-05-13
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD5537183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist