Hines, Katinna Evette

Hines, Katinna Evette is an individual health care provider with primary practice located at 1245 Concord Pkwy N , Concord NC 28025-4325. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Hines, Katinna Evette can be contacted via phone (704) 795-9868.

Contact Information

Primary practice address
1245 Concord Pkwy N Concord NC 28025-4325
Fax: (704) 788-3805
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH019859 Georgia
Pharmacy Service Providers / Pharmacist 183500000X PS31866 Florida
Pharmacy Service Providers / Pharmacist 183500000X 17489 North Carolina

Profile Details

NPI number 1720340268
LBN Legal business name Hines, Katinna Evette
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2012
Last updated Mar 7th, 2023 - about last year

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 1720340268 NPPES
Other 3432729 NABP
MEDICAID 0135723 NABP
Other 56-1390087 NABP

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