Healthcare Provider Details

I. General information

NPI: 1871275420
Provider Name (Legal Business Name): KATELYN OGREN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2023
Last Update Date: 08/03/2023
Certification Date: 08/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 W MILLS ST
COLUMBUS NC
28722-8404
US

IV. Provider business mailing address

333 W MILLS ST
COLUMBUS NC
28722-8404
US

V. Phone/Fax

Practice location:
  • Phone: 828-894-8247
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number32475
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: