Healthcare Provider Details

I. General information

NPI: 1679492953
Provider Name (Legal Business Name): KATHERINE ULLOA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S SANTA FE AVE
SALINA KS
67401-4144
US

IV. Provider business mailing address

411 AULLWOOD RD
SALINA KS
67401-3611
US

V. Phone/Fax

Practice location:
  • Phone: 785-452-7000
  • Fax:
Mailing address:
  • Phone: 785-452-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License Number1-104120
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: