Provider Demographics
NPI:1215450978
Name:HOROWITZ, KATHERINE BROOKE IGLHAUT (PHARMD)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:BROOKE IGLHAUT
Last Name:HOROWITZ
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 1:102 JERSEY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7807
Mailing Address - Country:US
Mailing Address - Phone:919-601-9529
Mailing Address - Fax:
Practice Address - Street 1:801 MEBANE OAKS RD
Practice Address - Street 2:
Practice Address - City:MEBANE
Practice Address - State:NC
Practice Address - Zip Code:27302-7643
Practice Address - Country:US
Practice Address - Phone:919-601-9529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-24
Last Update Date:2017-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27093183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist