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NPI Code Detail

MEDICARE: KATHARINE LICHTENWALTER PHARMD

MEDICARE:   KATHARINE  LICHTENWALTER  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
1183500000XPharmacist051304279IL

General Provider Information

NPI Number : 1881311884
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHARINE LICHTENWALTER PHARMD
Provider Business Mailing Address
First Line : 101 ASBURY AVE
Second Line :
City : EVANSTON
State : IL
Zip : 60202-3801
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 ASBURY AVE
Second Line :
City : EVANSTON
State : IL
Zip : 60202-3801
Country : US
Telephone Number : 847-905-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2022
Last Update Date : 10/20/2022

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Directions to “ KATHARINE LICHTENWALTER PHARMD” Practice Location

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