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General NPI Number Information
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NPI Number | 1063931103
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Entity Type | Individual
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Provider Name | KATHRYN E EASTON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/10/2017
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Last Update Date | 09/10/2017
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Provider Practice Location Address
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Address Line | 2345 PEACHTREE RD NE
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City | ATLANTA
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State | GA
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Zip | 30305-4147
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Country | US
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Telephone | 404-233-2101
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Fax |
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Provider Business Mailing Address
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Address Line | 3131 N DRUID HILLS RD APT 10210
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City | DECATUR
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State | GA
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Zip | 30033
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Country | US
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Telephone | 502-553-3130
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 030109
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License Number State | GA
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