Provider Demographics
NPI:1487241451
Name:MCGLOTHLIN, KALINA (PHARMD)
Entity type:Individual
Prefix:
First Name:KALINA
Middle Name:
Last Name:MCGLOTHLIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2940 CLINCH ST
Mailing Address - Street 2:
Mailing Address - City:RICHLANDS
Mailing Address - State:VA
Mailing Address - Zip Code:24641-2140
Mailing Address - Country:US
Mailing Address - Phone:276-964-4074
Mailing Address - Fax:276-964-9424
Practice Address - Street 1:2940 CLINCH ST
Practice Address - Street 2:
Practice Address - City:RICHLANDS
Practice Address - State:VA
Practice Address - Zip Code:24641-2140
Practice Address - Country:US
Practice Address - Phone:276-964-4074
Practice Address - Fax:276-964-9424
Is Sole Proprietor?:No
Enumeration Date:2020-12-24
Last Update Date:2020-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202209785183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist