Provider Demographics
NPI:1679813356
Name:WILSON, KATHERINE F (PHARM D)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:F
Last Name:WILSON
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1000 LOWES BLVD
Mailing Address - Street 2:CVS CAREPLUS PHARMACY
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117
Mailing Address - Country:US
Mailing Address - Phone:704-892-1861
Mailing Address - Fax:704-757-0851
Practice Address - Street 1:1000 LOWES BLVD
Practice Address - Street 2:CVS CAREPLUS PHARMACY
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-8520
Practice Address - Country:US
Practice Address - Phone:704-892-1861
Practice Address - Fax:704-757-0851
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-18
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14290183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist