Provider Demographics
NPI:1194944801
Name:WEAR, KATHRYN ANN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:ANN
Last Name:WEAR
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 1:149 HUSH HICKORY TRCE
Mailing Address - Street 2:
Mailing Address - City:REIDSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27320-9650
Mailing Address - Country:US
Mailing Address - Phone:336-280-3986
Mailing Address - Fax:
Practice Address - Street 1:4102 PRECISION WAY
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-8060
Practice Address - Country:US
Practice Address - Phone:336-804-6021
Practice Address - Fax:336-804-6022
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18396183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist