Provider Demographics
NPI:1427484807
Name:PEREZ, VON KATHERINE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:VON
Middle Name:KATHERINE
Last Name:PEREZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:VON
Other - Middle Name:KATHERINE
Other - Last Name:MUELLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:24422 NW 110TH AVE
Mailing Address - Street 2:
Mailing Address - City:ALACHUA
Mailing Address - State:FL
Mailing Address - Zip Code:32615-7825
Mailing Address - Country:US
Mailing Address - Phone:919-428-6035
Mailing Address - Fax:
Practice Address - Street 1:580 S MARION AVE
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32025-5802
Practice Address - Country:US
Practice Address - Phone:386-755-0997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-18
Last Update Date:2022-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23273183500000X
FLPS64330183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist