Provider Demographics
NPI:1427303890
Name:GRIFFIN, KATHERINE ASHLEY (PHARM D)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:ASHLEY
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1811 W GOVERNMENT ST
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:MS
Mailing Address - Zip Code:39042-2414
Mailing Address - Country:US
Mailing Address - Phone:018-856-3697
Mailing Address - Fax:601-718-3572
Practice Address - Street 1:6365 I 55 N
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39213-9742
Practice Address - Country:US
Practice Address - Phone:601-718-0021
Practice Address - Fax:601-718-3572
Is Sole Proprietor?:No
Enumeration Date:2012-07-20
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-125531835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist