Healthcare Provider Details

I. General information

NPI: 1740596865
Provider Name (Legal Business Name): CATHERINE SHERRILL LOOSIER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2010
Last Update Date: 09/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 SOUTH UNION STREET SEIB WELLNESS CENTER
MONTGOMERY AL
36104
US

IV. Provider business mailing address

101 SOUTH UNION STREET SEIB WELLNESS CENTER
MONTGOMERY AL
36104
US

V. Phone/Fax

Practice location:
  • Phone: 334-263-8464
  • Fax:
Mailing address:
  • Phone: 334-263-8464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number19042
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number15832
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: