Provider Demographics
NPI:1104253756
Name:GARRETT, KATHLEEN EMILY (PHARMD)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:EMILY
Last Name:GARRETT
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 1:406 MANOR DR
Mailing Address - Street 2:
Mailing Address - City:NAZARETH
Mailing Address - State:PA
Mailing Address - Zip Code:18064-9635
Mailing Address - Country:US
Mailing Address - Phone:610-746-0893
Mailing Address - Fax:
Practice Address - Street 1:5580 CRAWFORD DR
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-8797
Practice Address - Country:US
Practice Address - Phone:610-954-8323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-27
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP448106183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist