Provider Demographics
NPI:1851031751
Name:LACHMAN, KATIE MARINA (PHARMD)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:MARINA
Last Name:LACHMAN
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 1:10075 NC HIGHWAY 306 S
Mailing Address - Street 2:
Mailing Address - City:ARAPAHOE
Mailing Address - State:NC
Mailing Address - Zip Code:28510-9614
Mailing Address - Country:US
Mailing Address - Phone:252-514-7199
Mailing Address - Fax:
Practice Address - Street 1:400 WESTERN BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-6816
Practice Address - Country:US
Practice Address - Phone:910-347-3535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30889183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist