Provider Demographics
NPI:1982011854
Name:POWERS, NATALIE KATHRYN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:KATHRYN
Last Name:POWERS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:KATHRYN
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21 STATE ROUTE 12
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA BAY
Mailing Address - State:NY
Mailing Address - Zip Code:13607-1520
Mailing Address - Country:US
Mailing Address - Phone:315-482-6270
Mailing Address - Fax:315-482-9651
Practice Address - Street 1:21 STATE ROUTE 12
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA BAY
Practice Address - State:NY
Practice Address - Zip Code:13607-1520
Practice Address - Country:US
Practice Address - Phone:315-482-6270
Practice Address - Fax:315-482-9651
Is Sole Proprietor?:No
Enumeration Date:2014-07-12
Last Update Date:2020-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY059238183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist