Provider Demographics
NPI:1205637808
Name:KATE PHARMACEUTICAL CORP
Entity type:Organization
Organization Name:KATE PHARMACEUTICAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:MORA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTOUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-240-2174
Mailing Address - Street 1:13394 LIMONITE AVE STE B120
Mailing Address - Street 2:
Mailing Address - City:EASTVALE
Mailing Address - State:CA
Mailing Address - Zip Code:92880-7272
Mailing Address - Country:US
Mailing Address - Phone:951-444-6788
Mailing Address - Fax:951-444-6777
Practice Address - Street 1:13394 LIMONITE AVE STE B120
Practice Address - Street 2:
Practice Address - City:EASTVALE
Practice Address - State:CA
Practice Address - Zip Code:92880-7272
Practice Address - Country:US
Practice Address - Phone:951-444-6788
Practice Address - Fax:951-444-6777
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FK3555402
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service