Healthcare Provider Details

I. General information

NPI: 1598132920
Provider Name (Legal Business Name): COURTNEY ANNE KING PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2015
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 W WATERLOO RD
AKRON OH
44319-1116
US

IV. Provider business mailing address

55 W WATERLOO RD
AKRON OH
44319-1116
US

V. Phone/Fax

Practice location:
  • Phone: 330-724-7715
  • Fax: 216-229-2977
Mailing address:
  • Phone: 330-724-7715
  • Fax: 216-229-2977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03335050
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: