Provider Demographics
NPI:1174524755
Name:INVERSO, KATHLEEN MARY (RPH)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:MARY
Last Name:INVERSO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5 LION CT
Mailing Address - Street 2:
Mailing Address - City:LIMERICK
Mailing Address - State:PA
Mailing Address - Zip Code:19468-1339
Mailing Address - Country:US
Mailing Address - Phone:610-792-9505
Mailing Address - Fax:610-792-2488
Practice Address - Street 1:70 BUCKWALTER RD
Practice Address - Street 2:SUITE 113
Practice Address - City:ROYERSFORD
Practice Address - State:PA
Practice Address - Zip Code:19468-1846
Practice Address - Country:US
Practice Address - Phone:610-948-0838
Practice Address - Fax:610-792-4014
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PARP-032422-L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist