Provider Demographics
NPI:1952912677
Name:TASCHLER, KATIE DANIELLE (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:DANIELLE
Last Name:TASCHLER
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 S SCATTERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46012-3601
Mailing Address - Country:US
Mailing Address - Phone:765-609-3780
Mailing Address - Fax:
Practice Address - Street 1:320 S SCATTERFIELD RD
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46012-3601
Practice Address - Country:US
Practice Address - Phone:765-609-3780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-14
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26027527A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist