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NPI Code Detail

MEDICARE: KATHERINE MCSHANE PHARM.D.

MEDICARE: KATHERINE MCSHANE PHARM.D.
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
1183500000XPharmacist0202215259VA

General Provider Information

NPI Number : 1851840615
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE MCSHANE PHARM.D.
Provider Business Mailing Address
First Line : 2601 GEORGE WASHINGTON MEM HWY
Second Line :
City : YORKTOWN
State : VA
Zip : 23693-3409
Country : US
Telephone Number : 757-867-8281
Fax Number :
Provider Business Practice Location Address
First Line : 2601 GEORGE WASHINGTON MEM HWY
Second Line :
City : YORKTOWN
State : VA
Zip : 23693-3409
Country : US
Telephone Number : 757-867-8281
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2016
Last Update Date : 09/22/2016

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