Provider Demographics
NPI:1760072417
Name:KLINE, COURTNEY ROSE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:ROSE
Last Name:KLINE
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 1:209 N BEAVER ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17401-5321
Mailing Address - Country:US
Mailing Address - Phone:717-854-9028
Mailing Address - Fax:
Practice Address - Street 1:209 N BEAVER ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17401-5321
Practice Address - Country:US
Practice Address - Phone:717-854-9028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-26
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP447786183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist