Provider Demographics
NPI:1053543793
Name:DANIEL, KATHERINE BALDWIN (RPH)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:BALDWIN
Last Name:DANIEL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 N PERSON ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-1216
Mailing Address - Country:US
Mailing Address - Phone:919-832-6432
Mailing Address - Fax:919-833-7581
Practice Address - Street 1:702 N PERSON ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-1216
Practice Address - Country:US
Practice Address - Phone:919-832-6432
Practice Address - Fax:919-833-7581
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-13
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6181183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist