Provider Demographics
NPI:1588666176
Name:RINEHART, KATHY JEAN (RPH)
Entity type:Individual
Prefix:
First Name:KATHY
Middle Name:JEAN
Last Name:RINEHART
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:DR
Other - First Name:KATHY
Other - Middle Name:J
Other - Last Name:RINEHART
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:495 AUBURN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-3336
Mailing Address - Country:US
Mailing Address - Phone:319-338-7703
Mailing Address - Fax:
Practice Address - Street 1:601 HIGHWAY 6 W
Practice Address - Street 2:PHARMACY SERVICE (119), VAMC
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52246-2292
Practice Address - Country:US
Practice Address - Phone:319-338-0581
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA161381835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy