Provider Demographics
NPI:1750668265
Name:CARDENAS, KATHERINE (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:
Last Name:CARDENAS
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 1:100 UPLAND SQ DR
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-5174
Mailing Address - Country:US
Mailing Address - Phone:484-654-3581
Mailing Address - Fax:
Practice Address - Street 1:100 UPLAND SQ DR
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-5174
Practice Address - Country:US
Practice Address - Phone:484-654-3581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-11
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP444195183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist