Provider Demographics
NPI:1245507136
Name:KAPLAN, KATIE (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:
Last Name:KAPLAN
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 1:99 SE MIZNER BLVD
Mailing Address - Street 2:APT #409
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-5022
Mailing Address - Country:US
Mailing Address - Phone:516-639-2159
Mailing Address - Fax:
Practice Address - Street 1:21637 STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-1843
Practice Address - Country:US
Practice Address - Phone:561-237-0101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-21
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS41705183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist