MEDICARE: KATIE KLEIN PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	5302040563	MI

General Provider Information

NPI Number	:	1598112419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE KLEIN PHARMD

Provider Business Mailing Address
First Line	:	540 S MAIN ST
Second Line	:
City	:	LAPEER
State	:	MI
Zip	:	48446-2467
Country	:	US
Telephone Number	:	810-664-0391
Fax Number	:

Provider Business Practice Location Address
First Line	:	540 S MAIN ST
Second Line	:
City	:	LAPEER
State	:	MI
Zip	:	48446-2467
Country	:	US
Telephone Number	:	810-664-0391
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2016
Last Update Date	:	05/27/2026

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Directions to “ KATIE KLEIN PHARMD” Practice Location

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