Dircksen, Katie

Dircksen, Katie is an individual health care provider with primary practice located at 1638 Owen Dr , Fayetteville NC 28304-3424. She recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as her primary health care specialty. Dircksen, Katie can be contacted via phone (910) 615-7183.

Contact Information

Primary practice address
1638 Owen Dr Fayetteville NC 28304-3424
Phone: (910) 615-7183
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 28922 North Carolina

Profile Details

NPI number 1104471432
LBN Legal business name Dircksen, Katie
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2019
Last updated Aug 5th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104471432 NPPES
North Carolina Other 28922 PHARMACY LICENSE

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