Provider Demographics
NPI:1548458730
Name:KOFFER, KATHERINE FERRARA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:FERRARA
Last Name:KOFFER
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 1:4164 HOWELL RD
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-8692
Mailing Address - Country:US
Mailing Address - Phone:610-933-1994
Mailing Address - Fax:610-933-5878
Practice Address - Street 1:600 S 43RD ST
Practice Address - Street 2:GRIFFITH HALL #108
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4418
Practice Address - Country:US
Practice Address - Phone:215-596-8800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-12
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP031670L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist