Healthcare Provider Details

I. General information

NPI: 1447779525
Provider Name (Legal Business Name): CATHERINE BUTLER HOBART PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2017
Last Update Date: 09/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 NORTH WILMONT ROAD SUITE 101
TUCSON AZ
85711
US

IV. Provider business mailing address

8323 N SHANNON RD # UIT3104
TUCSON AZ
85742-9597
US

V. Phone/Fax

Practice location:
  • Phone: 520-694-8888
  • Fax:
Mailing address:
  • Phone: 412-759-2006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS022936
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH.03135791-1
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP451058
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: