Provider Demographics
NPI:1184076432
Name:LITTLE, KATHERINE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:
Last Name:LITTLE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:LONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:203 BRIARHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-6684
Mailing Address - Country:US
Mailing Address - Phone:434-960-8818
Mailing Address - Fax:
Practice Address - Street 1:11801 VOGEL ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-6510
Practice Address - Country:US
Practice Address - Phone:919-544-1387
Practice Address - Fax:919-544-1868
Is Sole Proprietor?:No
Enumeration Date:2016-07-11
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC26241183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist