Healthcare Provider Details

I. General information

NPI: 1104061415
Provider Name (Legal Business Name): KATHRYN L CLASEN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2008
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5007 VICTORY BLVD STE 1
YORKTOWN VA
23693-5629
US

IV. Provider business mailing address

1215 LEE ST
CHARLOTTESVILLE VA
22908-0816
US

V. Phone/Fax

Practice location:
  • Phone: 757-234-7982
  • Fax: 757-234-7984
Mailing address:
  • Phone: 434-243-3881
  • Fax: 434-245-2001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number0202207974
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: