Healthcare Provider Details
I. General information
NPI: 1245200211
Provider Name (Legal Business Name): KATHRYN ANN RESCH PHARM D, R. PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 01/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
201 WEST CENTER STREET
ROCHESTER MN
55905-0001
US
IV. Provider business mailing address
1728 QUARRY RIDGE PL NW
ROCHESTER MN
55901-0820
US
V. Phone/Fax
- Phone: 507-266-7416
- Fax:
- Phone: 701-240-4382
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 118307-8 |
| License Number State | MN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: