Kathryn Grace Preble, RPH

Individual provider Active NPI Pharmacist · Cheney, WA

NPI 1942500251 · NPPES record last updated Nov 2, 2010

Key facts

NPI
1942500251
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
10914 (WA)
Practice address
2710 1St St
Cheney, WA 99004-2032
Phone
(509) 235-6030
Fax
(509) 235-6386
NPI assigned
Nov 2, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
10914WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Safeway Inc Past Accepting new patients
Safeway Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10914 WA Yes

Addresses

Primary practice location

2710 1St St
Cheney, WA 99004-2032

Mailing address

2710 1St St
Cheney, WA 99004-2032
Phone (509) 235-6030

Other providers in Cheney, WA

All providers in Cheney, WA · Pharmacist in Washington

Sources for this page

Verify at the official NPI Registry.