Healthcare Provider Details

I. General information

NPI: 1003916776
Provider Name (Legal Business Name): CHERYL LYNN CATOGGIO R.PH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CENTURY DR
WORCESTER MA
01606-1244
US

IV. Provider business mailing address

1 E GREENWOOD ST
AMESBURY MA
01913-3602
US

V. Phone/Fax

Practice location:
  • Phone: 508-421-5819
  • Fax:
Mailing address:
  • Phone: 978-388-1768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number24162
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberR1833
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: