Healthcare Provider Details

I. General information

NPI: 1275446619
Provider Name (Legal Business Name): KATHERINE LOEHR PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 N BELL SCHOOL RD
ROCKFORD IL
61114-6624
US

IV. Provider business mailing address

203 PRAIRIE HILL PKWY
WINNEBAGO IL
61088-9725
US

V. Phone/Fax

Practice location:
  • Phone: 779-696-9421
  • Fax:
Mailing address:
  • Phone: 815-978-4454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number051.288332
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: