Provider Demographics
NPI:1720654874
Name:HARNOIS, KATARZYNA EDYTA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KATARZYNA
Middle Name:EDYTA
Last Name:HARNOIS
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 1:15138 W AUSTIN DR
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:IL
Mailing Address - Zip Code:60441-1331
Mailing Address - Country:US
Mailing Address - Phone:773-983-5745
Mailing Address - Fax:
Practice Address - Street 1:3795 ORCHARD RD
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-5015
Practice Address - Country:US
Practice Address - Phone:630-551-2672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-31
Last Update Date:2021-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051298802183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist