Provider Demographics
NPI:1104514686
Name:BAILEY, KATLYNN MARIE (PHARM D, CPP)
Entity type:Individual
Prefix:
First Name:KATLYNN
Middle Name:MARIE
Last Name:BAILEY
Suffix:
Gender:F
Credentials:PHARM D, CPP
Other - Prefix:
Other - First Name:KATLYNN
Other - Middle Name:MARIE
Other - Last Name:ALUMBAUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:2525 COURT DR
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-2140
Mailing Address - Country:US
Mailing Address - Phone:704-834-4327
Mailing Address - Fax:704-834-3572
Practice Address - Street 1:2525 COURT DR
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-2140
Practice Address - Country:US
Practice Address - Phone:704-834-4327
Practice Address - Fax:704-834-3572
Is Sole Proprietor?:No
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC31833183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist