Healthcare Provider Details

I. General information

NPI: 1851944151
Provider Name (Legal Business Name): CATHERINE SMITH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2019
Last Update Date: 03/25/2024
Certification Date: 03/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 S 6TH AVE # 1-119
TUCSON AZ
85723-4501
US

IV. Provider business mailing address

3601 S 6TH AVE # 1-119
TUCSON AZ
85723-0001
US

V. Phone/Fax

Practice location:
  • Phone: 520-792-1450
  • Fax:
Mailing address:
  • Phone: 520-792-1450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberRP00009124
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License NumberRP00009124
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: