Healthcare Provider Details

I. General information

NPI: 1750604807
Provider Name (Legal Business Name): KATHERINE DAY BAKER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2010
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 HAWTHORNE LN STE 250
CHARLOTTE NC
28204-2536
US

IV. Provider business mailing address

1007 BALDWIN LN
WAXHAW NC
28173-7537
US

V. Phone/Fax

Practice location:
  • Phone: 704-944-6320
  • Fax: 704-335-3380
Mailing address:
  • Phone: 540-239-8921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number20565
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: