Provider Demographics
NPI:1245461680
Name:HOSTETTER, KATHRYN THORNTON (RPH)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:THORNTON
Last Name:HOSTETTER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:101 ROBESON ST
Mailing Address - Street 2:SUITE 107
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28301-5552
Mailing Address - Country:US
Mailing Address - Phone:910-615-1800
Mailing Address - Fax:910-615-1801
Practice Address - Street 1:101 ROBESON ST
Practice Address - Street 2:SUITE 107
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-5552
Practice Address - Country:US
Practice Address - Phone:910-615-1800
Practice Address - Fax:910-615-1801
Is Sole Proprietor?:No
Enumeration Date:2009-08-03
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7848183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist