Provider Demographics
NPI:1699117846
Name:LATTA, KATHRINE PATRICIA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KATHRINE
Middle Name:PATRICIA
Last Name:LATTA
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 1:1776 E SEYMOUR AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-3012
Mailing Address - Country:US
Mailing Address - Phone:574-248-0578
Mailing Address - Fax:
Practice Address - Street 1:1776 E SEYMOUR AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-3012
Practice Address - Country:US
Practice Address - Phone:513-351-3931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-29
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03338104183500000X
IN26052041A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist