Provider Demographics
NPI:1831518232
Name:PARDUE, KATHARINE (PHARMD)
Entity type:Individual
Prefix:
First Name:KATHARINE
Middle Name:
Last Name:PARDUE
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 1:4990 S ARIZONA AVE
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-5021
Mailing Address - Country:US
Mailing Address - Phone:480-802-6748
Mailing Address - Fax:480-802-0639
Practice Address - Street 1:4990 S ARIZONA AVE
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85248-5021
Practice Address - Country:US
Practice Address - Phone:480-802-6748
Practice Address - Fax:480-802-0639
Is Sole Proprietor?:No
Enumeration Date:2014-04-14
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS019961183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist