Healthcare Provider Details

I. General information

NPI: 1841585742
Provider Name (Legal Business Name): KATHERINE ANDORFER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2011
Last Update Date: 02/08/2021
Certification Date: 02/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 HOLT GARRISON PKWY
DANVILLE VA
24540-5947
US

IV. Provider business mailing address

2043 OLD NC HIGHWAY 86 N
YANCEYVILLE NC
27379-8238
US

V. Phone/Fax

Practice location:
  • Phone: 434-799-9951
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPCT.0009932
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number25772
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202214477
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: