Katherine Clouser

Individual provider Active NPI Pharmacist · Dickinson, TX

NPI 1245586643 · NPPES record last updated Aug 3, 2012

Key facts

NPI
1245586643
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
52033 (TX)
Practice address
3100 Gulf Fwy S
T-2320
Dickinson, TX 77539-4316
Phone
(281) 534-5421
NPI assigned
Aug 3, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
52033TXMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 52033 TX Yes

Addresses

Primary practice location

3100 Gulf Fwy S
T-2320
Dickinson, TX 77539-4316

Mailing address

3100 Gulf Fwy S
T-2320
Dickinson, TX 77539-4316

Other providers in Dickinson, TX

All providers in Dickinson, TX · Pharmacist in Texas

Sources for this page

Verify at the official NPI Registry.