Provider Demographics
NPI:1538268545
Name:RADACHI-MURPHY, KATHLEEN (RPH)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:
Last Name:RADACHI-MURPHY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MS
Other - First Name:KATHLEEN
Other - Middle Name:RADACHI
Other - Last Name:MAITLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:33381 WALKER RD
Mailing Address - Street 2:
Mailing Address - City:AVON LAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44012-1463
Mailing Address - Country:US
Mailing Address - Phone:800-233-3872
Mailing Address - Fax:
Practice Address - Street 1:33381 WALKER RD
Practice Address - Street 2:
Practice Address - City:AVON LAKE
Practice Address - State:OH
Practice Address - Zip Code:44012-1463
Practice Address - Country:US
Practice Address - Phone:800-233-3872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03212741183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist