Provider Demographics
NPI:1144812884
Name:ORR, KATHRYN MARIE (PHARMD)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:MARIE
Last Name:ORR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 S HIGHWAY 84 STE 100
Mailing Address - Street 2:
Mailing Address - City:SLATON
Mailing Address - State:TX
Mailing Address - Zip Code:79364-4635
Mailing Address - Country:US
Mailing Address - Phone:806-828-6266
Mailing Address - Fax:806-828-3897
Practice Address - Street 1:615 S HIGHWAY 84 STE 100
Practice Address - Street 2:
Practice Address - City:SLATON
Practice Address - State:TX
Practice Address - Zip Code:79364-4635
Practice Address - Country:US
Practice Address - Phone:806-828-6266
Practice Address - Fax:806-828-3897
Is Sole Proprietor?:No
Enumeration Date:2021-02-04
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX42208183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist