Provider Demographics
NPI:1902191646
Name:WOLF, KATHERINE E (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:E
Last Name:WOLF
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 1:226 NW 40TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-4939
Mailing Address - Country:US
Mailing Address - Phone:678-618-0154
Mailing Address - Fax:
Practice Address - Street 1:32129 WEYERHAEUSER WAY S STE 201
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98001-9802
Practice Address - Country:US
Practice Address - Phone:253-517-4310
Practice Address - Fax:253-517-4395
Is Sole Proprietor?:No
Enumeration Date:2011-06-10
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60231021183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist