Provider Demographics
NPI:1265061949
Name:EATON, KATHERINE JOAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:JOAN
Last Name:EATON
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 1:8559 US HIGHWAY 42
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-9678
Mailing Address - Country:US
Mailing Address - Phone:859-283-5362
Mailing Address - Fax:859-283-0395
Practice Address - Street 1:8559 US HIGHWAY 42
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-9678
Practice Address - Country:US
Practice Address - Phone:859-283-5362
Practice Address - Fax:859-283-0395
Is Sole Proprietor?:No
Enumeration Date:2020-04-05
Last Update Date:2020-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY014154183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist