Provider Demographics
NPI:1871197384
Name:LAMPLEY, KATRICE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KATRICE
Middle Name:
Last Name:LAMPLEY
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 1:938 AUGUSTA ST NE
Mailing Address - Street 2:
Mailing Address - City:DAWSON
Mailing Address - State:GA
Mailing Address - Zip Code:39842-1056
Mailing Address - Country:US
Mailing Address - Phone:229-669-1005
Mailing Address - Fax:
Practice Address - Street 1:1509 RADIUM SPRINGS RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31705-4021
Practice Address - Country:US
Practice Address - Phone:229-439-2248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH032333183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist