Provider Demographics
NPI:1790039006
Name:MC LAUGHLIN, KATHLEEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:
Last Name:MC LAUGHLIN
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 1:904 PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10459-3929
Mailing Address - Country:US
Mailing Address - Phone:718-991-6700
Mailing Address - Fax:718-874-1378
Practice Address - Street 1:904 PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10459-3929
Practice Address - Country:US
Practice Address - Phone:718-991-6700
Practice Address - Fax:718-874-1378
Is Sole Proprietor?:No
Enumeration Date:2012-11-08
Last Update Date:2019-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056642183500000X
PARP446420183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist