MEDICARE: DR. KATHERINE SARAH PARKER 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	55176	TX

General Provider Information

NPI Number	:	1992166680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHERINE SARAH PARKER PHARMD

Provider Business Mailing Address
First Line	:	3532 CLINE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77020-6128
Country	:	US
Telephone Number	:	405-706-2577
Fax Number	:

Provider Business Practice Location Address
First Line	:	2501 61ST ST
Second Line	:
City	:	GALVESTON
State	:	TX
Zip	:	77551-1849
Country	:	US
Telephone Number	:	409-744-8152
Fax Number	:

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

Provider Enumeration Date	:	03/09/2016
Last Update Date	:	03/09/2016

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