Healthcare Provider Details

I. General information

NPI: 1730399676
Provider Name (Legal Business Name): MARSHALL EUGENE CATES PHARM.D., BCPP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 LAKESHORE DR
BIRMINGHAM AL
35229-0001
US

IV. Provider business mailing address

1243 WOODLANDS WAY
HELENA AL
35080-3461
US

V. Phone/Fax

Practice location:
  • Phone: 205-726-2457
  • Fax: 205-726-2669
Mailing address:
  • Phone: 205-426-6116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number13044
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: