Healthcare Provider Details

I. General information

NPI: 1023942489
Provider Name (Legal Business Name): KATHERINE GHATTAS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 S 5TH AVE
WEST READING PA
19611-2143
US

IV. Provider business mailing address

1200 S 24TH ST
ALLENTOWN PA
18103-3712
US

V. Phone/Fax

Practice location:
  • Phone: 310-490-1491
  • Fax:
Mailing address:
  • Phone: 310-490-1491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP459911
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: