Provider Demographics
NPI:1548658693
Name:MACLAUGHLAN, KALA MARIE (PHARMD)
Entity type:Individual
Prefix:
First Name:KALA
Middle Name:MARIE
Last Name:MACLAUGHLAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KALA
Other - Middle Name:MARIE
Other - Last Name:BERKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1549 CAMEO DR
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-6927
Mailing Address - Country:US
Mailing Address - Phone:503-812-8339
Mailing Address - Fax:
Practice Address - Street 1:1549 CAMEO DR
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-6927
Practice Address - Country:US
Practice Address - Phone:503-812-8339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-23
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0014281183500000X
CA83473183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist