Provider Demographics
NPI:1083018741
Name:SPILKER, KATHERINE (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:SPILKER
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 1:6270 SOM CENTER RD
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-2913
Mailing Address - Country:US
Mailing Address - Phone:440-836-0494
Mailing Address - Fax:440-836-0498
Practice Address - Street 1:6270 SOM CENTER RD
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-2913
Practice Address - Country:US
Practice Address - Phone:440-836-0494
Practice Address - Fax:440-836-0498
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-09
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03132222183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist