MRS. Kathleen J Histed, R.PH.

NPI #1255611992 in Mansfield, Ohio

Provider Information

NPI Number: 1255611992
Entity Type: Individual
Name: MRS. Kathleen J Histed, R.PH.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Aug 25, 2011
Last Updated: Aug 25, 2011

Practice Location

Address: 1000 PARK AVE W
City: Mansfield
State: Ohio
ZIP Code: 44906-2810
Phone: (419) 529-3790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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